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.CR#:5"579 9' <br />Received By:'-I~C _ <br />'/COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES' <br />PERMIT APPLICATION <br />Date:~-IO-16 <br />OFFICEUSEONLY <br />@R1W <br />• <br />• <br />• <br />WIDTHS <br />@FRONTAGE <br />QUANtiTY <br />11005~~//D-34 ISSUEDATE: <br />FEEDUE: <br />DRIVEWAYS:~lkJII fd.EO:>Jy')QUAD ~Pw <br />&$WiC <br />.JOB#: <br />APN <br />EXP,DATE: <br />STREET: <br />AREA: <br />TYPE: <br />F6RMS: <br />NOTES: <br />DRIVEWAY..TYPE: <br />AGRICULTURE: <br />COMMERCIAL: <br />INDUSTRIAL: <br />RESIDENCE: <br />LENGTH: <br />.PAVEDFRONTAGE <br />Ft X WIDTH:'Ft <br />The und~~ned hereby applies or cavate,constructand/or otherwiseencroachon CountyHighwayRight-ol-Way on the____~~~_'side 01 approximately leet/miJe .____________~,bylnstalling ~_ <br />-------------------------__Workwillcommenceonorabout----lor approximately days. <br />SKETCH(Separate sheet maybesubmitled) <br />Millthis project be self-instailed?YES NO Contractor'sUcense --------------- <br />:\CENTRAlSERVlCES\ClERlCAL\PUB-SV.WK\MASTER.PS\ENCROACHMENT PERMIT DRIVEWAY.DOC (OS/13)Pagfl1of2