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PA- 110 ® 056 <br /> APPLICATION - MINOR SUBDIVISION <br /> 'K SAN JOAQUIN COUNTY.COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> �'dCi k o�N�p <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/SUrveyorApplicant Information <br /> rNamew:JERROLD R.HENRY ARID HELENA R.J.M. Name:SHOUP LAND SURVEYING <br /> SCHREURS-HENRY,TRUSTEES OF THE HENRY FAMILY <br /> TRUST AS TO 50%INTEREST&PHILIP N. HENRY, <br /> TRUSTEE OF THE PHILIP AND PAMELA HENRY FAMILY <br /> TRUST,AS TO 50%INTEREST <br /> Address: 100 HENRY LANE Address: PO BOX 658 <br /> SAN RAMON,CA 94583 CLEMENTS,CA 95227 <br /> Phone:925-785-1765 Phone:209-333-1872 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> f <br /> Description of the proposedproject: <br /> TO SUBDIVIDE THE PROPERTY INTO 3 PARCELS AND A DESIGNATED REMAINDER AS SHOWN ON THE TENTATIVE MAP. <br /> TO BE COMPLETED FOR ALL APPLICATIONS S13 ARLED UNDER THE PROVISIONS OF'SECTION-9-61 0.3(a) <br /> (Homes! 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 /> F 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 /> 021-150-08&26 162 AC. t/- 2 ®Yes No <br /> Pro,orty Address:24242&24688 N.MACKVI LLE ROAD,CLEMENTS,CA 95227 <br /> F:DEVSVMPianning ApplicaMon FormsWinor Subdiwsim(Rev.12-09-04) Page 3 of 9 <br />