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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRiVEWAYS AND PAVED l"RONTAGE~. <br />.PERMIT APPLICATION <br />Date: <br />Received By:._ <br />CR#:'>600& <br />OFFICE USE ONLY <br />JOB#:11005 ISSUE DATE:APN <2G'or-a 1~FEE DUE:EXP.DATE:ft-~/-I>DRIVEWAYS:STREET:~;;:~•AREA:QUAD 4/&*TYPE:pVV ...*FORMS:SsVVh t'f"7NOTES: <br />DRIVEWAY. <br />.TYPE:QUANtiTY I WIDTHSAGRICULTURE:I @FRONTAGECOMMERCIAL: <br />INDUSTRIAL:I (ii)RIWRESIDENCE:\ <br />.PAVED FRONTAGELENGTH:Ft.X WIDTH:Ft. <br />The undersigned hereby applies or ermission to excavate,construct and/orotherwise encroach on County Highway Right-of-Way on the <br />side!,t:-{Of h(i approximately feat/mile S .of L,l/P.~_,byinstaliing , <br />-------------------------Workwill:ommence on orabout for approximately days. <br />SKETCH (Separate sheet may be submitted) <br />I th;Sproject be Self-jnstalled?~YES NO Contractor's License <br />NTRALSERVlCES\Cl.ERICAl...\PUB.SIJ.WKIMASTER.PS\ENCROACHMENT PERMIT DRIVEWAY.OOC (09J13)Page 1of2