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PLAN APPLICATION/AMENDMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER. _ -5001 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> PLAN: General Plan <br /> (Check only one) <br /> (Separate application needed for each document.) ❑ Master Plan for <br /> ❑ Public Financing Plan for <br /> ❑ Specific Plan No. (if any) for <br /> ❑ Special Purpose Plan for <br /> ❑ Other <br /> TYPE OF AMENDMENT: MAP ❑ TEXT ❑ BOTH <br /> ❑ COMMUNITY <br /> ❑ OTHER LOCATION <br /> ❑ NOT A MAP CHANGE <br /> OTHER APPLICATIONS BEING SUBMITTED CONCURRENTLY <br /> Type Application Number(to be completed by staff) <br /> 2. 2. <br /> 3. 3. <br /> APPLICANT I OWNER <br /> Name: ";O?, jj IaA Name: <br /> Address: � ! Address: � 7 <br /> rr � y�_ b <br /> City: l.��N[dt�.+E� S�t�at�eJC/'T/ Zip: <br /> ip4/'5 -0 City04�;UH"VALE� State: c../'[ Zip: <br /> g <br /> Telephone #: "rte — y Ur�(� Telephone#:_ 8- _{ �g • 76, - <br /> F:ZEVSVVPlanning Application,Forms" Page 2 of 7 <br /> Plan Application Amendment.doc.(Revised 05-11-09 <br />