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4qr", APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> llo;W-i <br /> FILE NO: Isae Q4 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: '- Name: <br /> Address: 4,IF, Address: Li C1 a S• v5 %wl i Ta7— Aver <br /> ..> CA �5 6 <br /> Phone::r Phone:L [x( 64/ '- gZ6 X 0C � <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: [J l t� ,2 v 1 '� A <br /> 140 - I ` <br /> c7 r Ac,k 2•[: 1 OLD Ar- <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 homesile 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 Exisdng <br /> Assessor Parcel Number(s) Property Size Parcels Williamson Act Contract <br /> ; S-1!5"O .J '/ Z • 1 R-yes ❑ No <br /> Pro ert Address: <br /> F]DEVSVSWIactiing Application FormsWinor Subdivision fRev.05-11-09) Page 3 of 9 <br />