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Received By: <br />CR#:_ <br />COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Dale:(;-5--/6 <br />Ie <br />CONTRACTOR <br />OFFICE USE ONLY <br />JOB#:11005 ISSUE DATE: <br />APN FEE DUE: <br />EXP.DATE:DRIVEWAYS: <br />STREET:• <br />AREA:QUAD • <br />TYPE:• <br />FORMS: <br />NOTES: <br />DRIVEWAY <br />.TYPE:QUANTITY I WIDTHS <br />AGRICULTURE:I 6)FRONTAGE <br />COMMERCIAL: <br />INDUSTRIAL:I 6)RJW <br />."ESIDENCE:"'~•.. <br />i PAVED FRONTAGE <br />lENGTH:Ft.X WIDTH:Ft. <br />The undersigned hereby applies for permission 10excavate,construct and/or otherwise encroach on Countylji9~way Right-of-Way on the <br />III side of 12 p",.I=l-'e"Rd approximately 563 ~i1e uJ <br />of N.Ire:tiA.e •••...4..I.&-Rod ,A-AI\IM.PO ,byinstalling liJelO ''<it!-J)dvewtt.~ <br />,.klot;;be.i'i-.I'\ill "d !:(:::: <br />sri .r-I•P,...i'l!;Jtvtt 2.2 &tit"e boo ;i1f\~h. <br />&ie-MI-5<>1'-G?<fiA~M0j-A~,ark will <br />for approximately If days./56",,1,,-I",".2~ <br />Z' <br />-Ji)_'~"'<-I'l''-<>~;'J>j~IJ'~< <br />0, <br />~"r'pt?5eJ tJ~w Dr,'vewtl} <br />:320 I Pole 1>.3/A<!-over 1'1/1CalVertj-rLJ .s~vl1n(.l-ia.'ctet-iN" <br />fi;f E Pa-itte,RJ <br />''4 ,S:-+r;."of?5(;)PNifiCY"1j <br />commence on or about I.-l'-l -7-.0 16' <br />EN!!>I .-ZO I <br />SKETCH (separat'lheet may be submitted){'G ~e <br />L'~~f-=2Z'J~ <br />Will this project be self-installed?X YES NO Contractor's License Al,/A <br />M:\CENTRALSERVICES\GLERICAL'f'U8-SVWKIMASTER.PS\ENCROACHMENT PERf..\IT DRIVEWA V.DOC (01fJ8)Page1of2