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COUNTY OF SAN JOAQUIN Date: <br /> DEPARTMENT OF PULIC WORKS <br /> Received By: <br /> DRIVEWAYS AND PAVED FRONTAGES <br /> PERNT APPLICATION CR#:.a56D21� <br /> APPLICANT OFFICE USE ONLY <br /> Name: .r <br /> Address/ c%C JOB#: 11005 ISSUE DATE: <br /> City,State,Zip Code: APN 2.4 &-t0'7 FEE DUE: <br /> Area Code -Tele hone umber: EXP.DATE: DRIVEWAYS: <br /> STREET: Oyu, <br /> SITE INFORMATION: AREA: QUAD QUAD !$,r=- <br /> Parcel Owner's Name: /JXa c TYPE: <br /> Site Address: FORMS: <br /> City,State,Zip Code: NOTES: <br /> Area Code -Telephone Number. <br /> DRIVEWAY <br /> CONTRACTOR TYPE: QUANTITY WIDTHS <br /> Name: AGRICULTURE: @FRONTAGE <br /> Address: COMMERCIAL: <br /> City,State,Zip Code: INDUSTRIAL: RMI <br /> Area Code -Telephone Number: RESIDENCE: <br /> PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> The widersigned hereby applies for permi to excavate,construct and/or otherwise en on County Hi y Rt <br /> -of-W yon the <br /> side of ln+ _ approximately fee ile <br /> Of 44�04P ,by installing - <br /> Work Wil <br /> commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> I <br /> Will this project be self-installed? YES NO Contractor's License <br /> M:ICENTRALSERVICESICLERICALIPU&SV.WKIMASTER.P3,ENCROACHMENT PERMIT DRNEWAY.DOC (10109) Page 1 of 2 <br />