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ul� ` APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELO ENT DEPARTMENT <br /> ' FILE NO: MS_ <br /> �$ }� <br /> F P <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: N17 & Name: MONTE K SEEREL <br /> 7 <br /> Address: O, BO 5zIAddress: LAND SURVEYOR <br /> 221 WEST OAK STREET,SUITE B-2 <br /> LODI,CALIFORNIA 95240 <br /> Phone: Phone: <br /> 7 �f > - �3 33 PHONE(209)334-6523 FAX(209)334-2611 <br /> � <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Descri tion of the Proposedproject: /S '- G /" os(n- ' l; <br /> TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(a) <br /> Homesite Provision OF THE DEVELOPMENT TITLE: AREA EXCEPTION IN THE AGRICULTURAL ZONES. <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 Information <br /> Number of Existing <br /> Assessor Parcel Number(s) Property Size Parcels Williamson Act Contract <br /> ProDO5 — / —D Z /-7 5 ❑Yes No <br /> ertAddress: 3Z OO &- ' O/"�S (-,Y Le I EA. <br /> FIDEVSMPlannirgApplication Forms.MnorSubdivision(Rev.12-0404) Page 3 of 9 <br />