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PA170 ® 199 4uin/ 'a=F` APPLICATION - MINOR SUBDIVISION r.' c SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NO: MS- TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Engineer/Surveyor Applicant Information Name: Randy C. and Arlene Sasaki Roget Name: Quartaroli &Associates,Inc. Contact: John Glick Address: P.O. Box 1969 Address: 310 Sun West Place Suite A Lodi, CA 95241-1969 Manteca, CA 95337 Phone: (209)239-4908 or FAX(209)239-6235 Email: johnglick@quartaroli.com PROJECT DESCRIPTION Proposal Description of the proposed project: Create a homesite parcel around an existing house and a designated remainder parcel as shown on the Tentative Parcel Map TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(a) Homesite Provision OF THE DEVELOPMENT TITLE: AREA EXCEPTION IN THE AGRICULTURAL ZONES. Is the proposed project for a(check one and provide the requested information): ® Homesite Parcel Have you created a homesite parcel since July 29, 1992?No (If yes,this application cannot be accepted and processed). Have you owned the property for more than ten years? Yes (If no,this application cannot be accepted and processed). (If yes, please provide a copy of the recorded grant deed for the property). Is there an existing single family dwelling or mobile home on a permanent foundation on the proposed homesite parcel?Yes If yes, how long has the single family dwelling or mobile home on a permanent foundation been on the property? More than ❑ Financing Parcel 10 Years PROPERTY AND VICINITY DESCRIPTION Property Information Assessor Parcel Number(s) Property Size Number of Existing Parcels Williamson Act Contract 017-140-47 40.62 Ac.Gross 1 ❑Yes ® No ❑Yes ❑ No Property Address: 6425 East Dougherty Road FADEVSVS1PIann1ng Application Forms\Minor Subdivision(Rev.12-09-04) Page 1 of 5 2017-125 Minor Subdivision