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F � 00 <br /> APPLICATION - MINOR SUBDIVISION <br /> X SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> L <br /> � <br /> ;TO BE COMPLETED BY;THE.APPLICANT;PRIOR TO FILING THE APPLICATION <br /> ;.Owner=lnfoli orationEngi.neerlSurveyor.,pplicaret-lnformation <br /> Name: Uf_ I—ARxaaIJ Name: DA" �A D <br /> Address: 3`)I t "TK NI � c)P-NF.— Address: IZ4• r7 <>" GT <br /> c.A 94588 ANT?-*G 9-eP3;> t.P <br /> Phone: '9 ZS.. �+j ,. Phone: 20'1 <br /> - <br /> PRO JEC f DESCRIPTION . <br /> : <br /> Proposal <br /> Description of the proposedproject: <br /> I <br /> "i' A P,ta I G t� <br /> TO BE COMPLETED FOR'ALL APPLICATIONS SUBMITTED UNDER,THE PROVISIONS OF SECTION-9-6'10 3(a) <br /> :.4h omesite:Provisin ;OFTH <br /> o - E;DEVELOPMENT TITLE.:AREAXCEPTIONIN THE;AGRI.CULTU RALZONES.. <br /> Is the proposed project for a(check one and provide the requested information): <br /> ❑ Homesite Parcel <br /> • Have you created a homesite parcel since July 29, 1992? <br /> (if yes,this application cannot be accepted and processed). <br /> • Have you owned the property for more than ten years? <br /> (If no,this application cannot be accepted and processed), <br /> (If yes, please provide a copy of the recorded grant deed for the property). <br /> Is there an existing single family dwelling or mobile home on a permanent foundation on the proposed homesite parcel? <br /> • If yes, how long has the single family dwelling or mobile home on a permanent foundation been on the property? <br /> ❑ Financing Parcel <br /> PROPERTY.AND VICINITY DESCRIPTION <br /> Property,In formation ; <br /> Assessor Parcel NumberNumber of Existing <br /> s} Property Size Parcels Williamson Act Contract <br /> 101 O - O 2- 9 •�,� 4 1 [+ryes ❑ No <br /> Pro a Address: Mol b A L r->e K. �4va t4yr, -rg^cy G A <br /> FADEMSManning Application FormsWinor Subdivision(Rev.12-09-04) Page 3 of 9 <br />