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<- <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES - <br />PERMIT APPLICATION <br />Date:1-(2 --16 <br />Received By:-~T~(_ <br />CR#:>'b J7? <br />OFFICE USE ONLY <br />JOB#:11005 ISSUE DATE: <br />APN Q8Z--zW-OL FEEDUE:EXP.DATE:DRIVEWAYS: <br />STREET:HI !djceih L-h • <br />AREA:,..;,"1.:.QUAD JI1/iV"• <br />TYPE:h'l/r .•. <br />FORMS:t'~c:JA/;A/R /'7 <br />NOTES: <br />PRIVEWAY, <br />-TYPE:QUANTITY I WIDTHSAGRICULTURE:I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL:I @RIW <br />RESIDENCE:I <br />,PAVED FRONTAGE <br />LENGTH:Ft.X WIDTH:Ft. <br />The under9igned hereby applies for per iss10n 0 xcavate,construct and/or otherwise encroach on County Highway Right-of-Way on the-IY...side of --approximately feel/mile 6 <br />of .Ah.S'5'W'd "'.by Installing ". <br />______________________________-'-__Workwill <br />commence on orabout __._....for approximately ....days. <br />SKETCH (Separate sheet may be submitted) <br />fill this project be self-installed?_.YES .NO Contracto(s License _ <br />~ENTRAlSERVlCES\CLERlCAl\PUB_SV.WK\MASTER.PS\ENCROACHMENT PERMITDRIVEWAY.OOC (09/13)Page 1 of2.