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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES. <br />.PERMIT APPLICATION <br />Date:~;..3d -;-{; <br />Received By:TL <br />.CR#:£6 II I <br />Name:• <br />CONTRACTOR <br />OFFICE USE ONLY <br />JOB#:11005 ISSUE DATE: <br />APN '*3-J';),O-16 FEE DUE: <br />EXP.DATE:DRIVEWAYS: <br />STREET:lo\=e'l C:OlOI~,!e.l>.*AREA:l.a=>,QUAD I..ll;.• <br />TYpE:-ru;l .• <br />FORMS:Q S&!w"",.£'-/7 <br />NOTES: <br />DRIVEWAY ...TYPE:QUANTITY I WIDTHSAGRICULTURE:,l IiilFRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL:I (a)RIW <br />RESIDENCE: <br />.PAVED FRONTAGE <br />LENGTH:Fl X WIDTH:Ft. <br />The undersigned hereby applies for permission to excavate,construct and/or otherwise encroach on County Hi ay Right-of-Way on the "III side of TO t:OI/(ri/Q'4V approximately ')fe mile 6 <br />of H,D~b((i(r...by installing.~_ <br />.':-. <br />__________________________________Workwill <br />commence on or about for approximately days. <br />SKETCH (Separate sheet may be submitted) <br />II this project be seif-installed?YES NO Contractor's Ucense _ <br />~CES\ClERICAl\PUB.SV.Y,'K\MASTER.PS\ENCROACHMENT PEro.'JTDRIVEWAYDOC (09i13)Page1of2