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�I�ZSS� COUNTY OF SAN JOAQUIN Date: // 0 // <br /> DEPARTMENT OF PULIC WORKS <br /> DRIVEWAYS AND PAVED FRONTAGES Received By: <br /> PERMIT APPLICATION CR#: G�WT7Zo <br /> APPLICANTOFFICE USE ONLY <br /> Name: �y = r3 ; S AIF - <br /> Address: siRA,15 Y ,S- ��..ii JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: i Tr eq r,S .30 APN FEE DUE: <br /> Area Code -Telephone Number: - EXP.DATE: DRIVEWAYS: <br /> STREET: gNjjy�. ! L� <br /> SITE INFORMATION: AREA: 3?`sc TQC/ QUAD IV-05 <br /> Parcel Owner's Name: .9&jCiAco. TYPE: G'ornr�E U�4 L <br /> Site Address: ,3 ,N • g FORMS: <br /> City,State,Zip Code: s - C j, c),520.a NOTES: <br /> Area Code -Telephone Number: <br /> DRIVEWAY <br /> _ CONTRACTOR TYPE: QUANTITY WIDTHS <br /> N,Vail le: J �� A/•+!7�" �i T!7(7^•, _ rnn► T !'�.- <br /> ilvr�il�UL vi�L, 'FRON I AGE <br /> Address: ,�/ �,' ,S CONIMERCIAL: <br /> City,State,Zip Code: S INDUSTRIAL: R/UV <br /> Area Code -Telephone Number: -- �' RESIDENCE: <br /> PAVED FRONTAGE <br /> LEN�-TH: Ft. X WIDTH: Ft. <br /> The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County way Right-of-Way on the <br /> Lt)"i S• side of l�ddC�,��:..y,�'r'r y— Z_ <br /> fee le�H <br /> ----, approximately <br /> of r-�,, -jL �t>�= ur by installing <br /> G l�J.ry ✓ .. II �" ,ems -�T�'�.!l�,� ���� <br /> commence on or about ,N�Ira,-; t r Work will <br /> for approximately_ days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? _._; _YES NO Contractor's License <br /> M:ICENTRALSERVICESICLERICALIPUB-SV.WKIMASTER.PSIENCROACHMENT PERMIT DRIVEWAY.DOC (01/08) Page 1 of Z <br />