Laserfiche WebLink
COUNTY OF SAN JOAQUIN <br />DEPARTMENT OF PULIC WORKS <br />DRIVEWAYS AND PAVED FRONTAGES <br />PERMIT APPLICATION <br />Date:7--2-2-20 {-6 <br />Received By:'~_ <br />CR#:G5J I CO <br />.CONTRACTOR <br />Name: <br />~ddress: <br />~i ,State,Zip Code: <br />~rea Code -Telephone Number. <br />OFFICE USE ONLY <br />JOB#:11005 ISSUE DATE: <br />APN 005 -2~o-£.t ("FEE DUE:EXP.DATE:yet ?o~DRIVEWAYS:.STREET:*~\;2.,<~AREA:!t~~,0,.1 QUAD 11\')1=_• <br />TYPE:0 )h \l.d'1 ..:,t8 • <br />FORMS:is'i,,u ~ <br />NOTES:. <br />PRIVEWAY,,.TYPE:QUANTITY I WIDTHS <br />AGRICULTURE:I @FRONTAGE <br />COMMERCIAL:IINDUSTRIAL:I @RIW <br />RESIDENCE: <br />,PAVED FRONTAGE <br />lENGTH:Ft.X WIDTH:Ft. <br />The undersigned h~reby apR's for permissi n 0 excavate,construct and/or,otherwise~croach pn County!:fuJhwayR~ht-of-Way on the '.-hlCi'f'+IA-Sid of I approximately Zf=tO Cfeelimlle ~...s+of "'-If\.'•by installing _ <br />.','. <br />___________________________________Workwill <br />commence on or about for approximately days. <br />SKETCH (Separate sheet may be submitted) <br />Will this project be self-installed?-i-YES NO Contracto~s Ucense _ <br />It\CENTRAlSERVICESlClERICAL\PUa.SV.WKIMASTER.PSIENCROACHMENT PERMIT ORlVEWA Y.OOC (09/13)Page 1012