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PA160023I <br /> og4U'N A• � I MINOR SUBDIVISION <br /> " . I COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> ��C•I FO'M1�`�. OCT h 3 2016 <br /> TO BE COMPLETED BY TH lFI}PCIGAAi1f PRIOR TO FILING THE APPLICATION <br /> Owner information Engineer/Surveyor Applicant Information <br /> Name: Jt rs' V A n? :`> i r Name: / _� n i (r� T�' •G. <br /> Address: C/ Address: '7 V <br /> IvIA A nl r;= L- ,A c '2 5'3 3 7 P ivia C -7 5- <br /> Phone: <br /> Phone: Phone: '2 cry — L, CI _ 70 S � <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposedproject: Z L .r 1 14 c.P? es i j° % v / C t i v 10 /A16 <br /> r= ; LA k tc>/,A Ail c24 10AX rf ' <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 ofExisting <br /> Assessor Parcel Number(s) Property Size Parcels Williamson Act Contract <br /> 216'- 1) - 6)3M A?,) 7 '1Id ._/1-- 03y ft AC f) El Yes PJNo <br /> PropeAddress: <br /> FADEVSvmPlanning Application Fonnswlinor Subdivision(Rev 2-1-11) Page 3 of 9 <br />