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SAN JOAQUIN COUNTY COM"'1N1TY DEVELOPMENT DEPARTMENT <br />IIa FILE NO.: MS - <br />TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION lC A - 65 0 p y g 4 <br />Owner Information <br />Engineer/Surveyor <br />Applicant Information <br />Name: <br />Name: <br />Address: <br />Address: <br />Phone: <br />' — <br />Phone: <br />PROJECT DESCRIPTION <br />TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION -9-610.3(a) (Homesite Provision) OF <br />THE DEVELOPMENT TITLE: AREA EXCEPTION W THE AGRICULTURAL ZONES. <br />Is the proposed project for a (check one and provide the requested Information): <br />Q� Homesite Parcel <br />Al Q <br />-Have you created a homesite parcel since July 29,1992? <br />(if yes, this application cannot be accepted and processed). <br />4 �S <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 />yk,5 <br />-Is there an existing residence on the proposed homesite parcel? <br />z4Qsif yes, how long has the residence been on the property? <br />O Financing Parcel <br />Assessor Parcel Number(,) <br />to the <br />PROPERTY AND VICINITY DESCRIPTION <br />Uses to the west, p 6 r V Q N�_ <br />Property SizeI Number of I Williamson Act <br />Existing Contract <br />I✓ <br />I o Yes <br />