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PPLICATION - MIN R SUBDIVISION <br /> N. <\I SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ba 1 !i FILE NO: M� A is A n w <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: 4) /f- /'/I E L Name: S%fZ)Z4"` LAn/p <br /> Address: ��`plt'(p DG.i'�'lF'i'c T91;,AC _ AIC Address: lfe, A5X ES0 <br /> 95-2Z7 <br /> Phone: £Phone: 1<' _ 7Z .�lf�✓'.Jo<vrr S G� l'< <br /> ZL > 333 / <br /> PROJECT DESCRIPTION <br /> Proposal <br /> k��� <br /> Description of the proposed project: / �Tt.% GU1 41- 'ML0--'r1 rccf / u'/V -1h V Ail " <br /> PIPJ AO i .. Yq. IV L 't- - vR/C�. L N AC4i' �o. 1] 1/ <br /> l4✓'. /;D CD/t /4,,;q 1J. Z Ae '746017leill e�F�• N �G r/ <br /> iZeo <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 /> 0041� - /7e- Z)-f 1 p /5zz3-46 /7 0-yes ❑ No. <br /> Property Address: 2O�✓c ,1}SSifbi✓t--A <br /> F 10EMSOanning Application FormsWinor Subdivision(Rev.12-09-04) Page 3 of 9 <br />