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C-0 <br /> PLAN APPLICATION/AMENDMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <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 /> 1. 1. <br /> 2. 2. <br /> 3. 3. <br /> APPLICANT OWNER <br /> Name: \ Name: L �cD AtpoS-N Z, O SAM N,) <br /> Address: nqo Lo "C���G d� Address: UL10 G xaycl, &11c- <br /> City: State: CA-,Zip: Ct City: State: _Zip: Qt'S20 <br /> Telephone#: (90ci) --1-59-7072, Telephone#: <br /> F.\DEVSMPlanning Application Forms\ Page 2 of 7 <br /> Plan Application Amendment.doc.(Revised 11-05-07 <br />