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COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />IJRiVEWAYSAI\ID PAveD HWNTAGES . <br />.PERMIT APPLICATION <br />Date: <br />Received BY:~Z--- <br />CR#:03 e.-(711 7 <br />OFFICE USE ONLY <br />JOB#:11005 ISSUE DATE:APN 2a3-tfi,?-/5 FEE DUE: <br />EXP.DATE:..DRIVEWAYS: <br />STREET:~IW/.il?.• <br />AREA:•V'---QUAD .;jt: <br />TYPE:(D""\J""\i-..c...-V ..• <br />FORMS:S"5/IAJ/b rlO-f-j <br />NOTES: <br />DRIVEWAY, <br />,TYPE:QUANtiTY I WIDTHSAGRICULTURE:'I I @FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL:1@RIWRESIDENCE: <br />.PAl/ED FRONTAGE <br />lENGTH:Ft.X WIDTH:Ft. <br />to excavate,construct and/or otherwise enCIR~~09 County f:!!9bway RiiJt1t-of-Wayon the <br />•approximately _~ll2Q~~mlie 001'-+,",,-____',bylnstalling ~_ <br />__________________________________Workwill <br />commence on or about for approximately days. <br />SKETCH (Separate sheet may be submitted) <br />" <br />fill this project be self-installed?YES NO Contracto(s License _ <br />CENTRAlSERVlCES\CLERICAl\PUB-SV.WKlMASTER.PS\ENCROACHMENT PERMff DRIVEWAY DOC (09/13)Page1of2