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APPLICATION -� MINOR SUBDIVISION <br /> ri Ti SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1Y ! ={ FILE NO: MS- <br /> CfFo� <br /> 9 <br /> TO BE COMPLETED BY'THE APPLICANT PRIOR TO FII�.tNG THE APPLlbA7tON�" ,r <br /> _� , >�- �,; �� � r � � -� � En��neg7l�tllrYeyOr]��l3]iC�i,}t�C�f•�rinatlOn *��'r,�;_; <br /> I ame: G � <br /> ddress: z 7 <br /> Addfiass: <br /> 'hone: ' Q€�7� Phone: <br /> �� N <br /> p ECT DESCFtIPT10Tl� <br /> proposal <br /> Description of the ro Sed ro ect: <br /> TO BE COMPLETED F AL.L AppLICATIONS'SUBTtA AREA EXCEPTION Nr.T UNDER OTHE`AGRICU TURAL Z NES- <br /> Homesit6 Provision SOF THE DEVELOPMENT TITLE. <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 20.'t902? <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 <br /> of the rpted and processed)- <br /> ecorded granteed for the property). <br /> (if yes,please provide a Dopy <br /> • <br /> a permanent foundation on the proposed ho <br /> is there an existing single family dwelling or mobile home on eite parcel? <br /> • It 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 information <br /> Number of E)dsting Williamson Act Contract <br /> Property Size Parcels <br /> Assessor Parcel Number(s) f ❑Yes No <br /> Pro a Address: <br /> .,nn.,r�ation Forms\Minor Subdivision(Rev. <br /> 12.09-04) Page 3 of 9 <br />