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SMACE RE(M-ST <br /> 7;ned 3r�^snc,s❑r Pra cry EACiL[T7 fl] 5ERV1C ftQt}sST r <br /> Residence <br /> :3rrr tj <br /> Charlene--Evans - ! <br /> Evans Property <br /> SrE AoortEss <br /> hi filing Address m(if Different from Site Address{ � <br /> PO Box 794 <br /> Cr�r Lodi STATE CA Zrs' 95241 <br /> �H(5HE�1 eS°. APS{� I,A��USCl+PPllr+,�YJN# i i <br /> (209) 339-8732 011-170-04 and 20 Pre-Application Submittal <br /> k PHONE 4 2 <br /> CopiTRACTOR I SERVICE REOUESTOR <br /> I�ULSiGR BI U-NCPARTYr <br /> Tamara K. Woods X <br /> t;UdiNE55{��E ¢}{OHE# fir' <br /> Neil 0. Anderson & Associates,-.1nc. _(2O ) 367-3701 <br /> ilwulmAnoatss F <br /> 22 Houston,.-Lane (!M9) <br /> �'ia 333-8303 <br /> Lodi <br /> STATE CA ` x95240 <br /> ILL1NG ACXNOVOI TiOGEIttUT-,f,`lab cni'.er-,III proptny of I usinesi-ovmrr,operaf®r re authorized agent of Sarna,acxnrNlty gc UIal alt silr ander pmx s,Pe-jk_ <br /> _Puetr;iruT1{:�vtLu E:�v!rtC+�tu�!t�:,1"�+.9�}l v�Prrlw!I hour^t��tarv�,",s assnr��t-�d `3�this project cr aC;rnty��l�hilfezt to me ar rrry hu—;mess�leas,"•,ect�n LtiL funs. <br /> —�JI•"iri t1:S'j!y$klc.I hate pF£pa�hCc.'11;�i i•�'p!:,„j4rn and I,`i3i u'tn;ytjp�;LO Lf'j:�rSG'ri''4C�1 wdl ,�C dQrsC Ili o`l.C�!tianCr.K•ICh��';id77 3Qhd.3:td 1.[Y.}:rr'r vriltf;�^C(��4/1+C� sf&rECr&frly uih'�v�v � <br /> TEDD R LII <br /> h? ' <br /> itPPUwk rTaEGHAfuP.F: 9& K�� 61�1 <br /> Pn,cpo"7";1�vSwiesz G OPER 7-,T.l'.WtAGCR ( R-Adma,iiis.trat j-ve-Ass.iStatt <br /> Arr r i;ret 1�a nw3.%!�2pN�proof of avfhcvi:Jt;Cn fa t n is njg1rat rifle <br /> AUTtiORVATiON TO RELEASE i14rOP1hATQN:wmn appjiclhlc,%the owner or operator of L)e property tic ited al;he ahovc silo address,"erelr!a tv ze E e release rf <br /> any and all resuL.gto)S einic1]data an(Vor Cn! GrmCnL"r95iiC assessment inforfriz6on to IhL`$Alf�f]AOIl1:f GOUN iY Pc1(1{IC F{EAl.ilf a6?VSf�JiS s'lIVIF�(3'iM?�!:?,AL.}T?"•hLTzf i)F'?$f�(35 SC'j:f <br /> as;is avala5le ansa a3 fisc same fmc it pmvidrd Io me orT,y rep,uenotl ve. <br /> !'YPrQF$ER�'if.�fZEQ11(SiCf7: _ _ _ i <br /> i - <br /> °rnr�zxss: Pleases accept the subject SSS for the-proposed -minor subdivision. En-closed <br /> is- $17-8.00-review fe7e. The minor-subdivision application for the residence <br /> is being submitted by Baumbach & Piazza Engineers. -Our- office 'is .preparingl <br /> the SSS/CR which you should receive in a few days. If you have questions, <br /> please call our office at (209) 367-3701. <br /> f <br /> I <br /> I]3 <br /> I t <br /> I){sf��ttJF}'s S:GNri;tl7lF: CoHrF2ACToft'S SIGEiAil�s�E: <br /> £7n« - <br /> test -- <br /> - _ <br /> CI-Ite�crvice Co[nplctcd (if already ccropIcle:d): Sri I^ECOoe: ( : <br /> I <br /> Fee Amount: � Ar ur%t Paid � Payment DMa <br /> Paycncnt Type lr:uaicc Check N Received 0 <br />