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APPLICATO'N - DEVIATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPME�yNT DEPARTMENT <br /> FILE NUMBER: DV-- <br /> als A ` ll ` U V 4 L <br /> TO BE COMPLETED BY THE APPLICANT PA1bA TO PILifi7V &�pLICATIdN <br /> Owner Information Apllc�pt Informatidt�A <br /> Name: L Name: V$ piq <br /> Address: (OZ $?O (:-,-r, Address: e% -7 Itj <br /> Phone: - Phone: <br /> PRoAdf dWI# N <br /> Propo§el <br /> Description of the proposed project: <br /> v stMIF, <br /> f 1-t�a t n <br /> TV <br /> cst- A- I <br /> ccVJV- C-4r- qJ S d <br /> Business name(DBA): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> d w—ocoOcys []Yes ❑ No <br /> ❑Yes I] No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: �Gl. <br /> F-DEVSVOPlaming Application Forms0eviation.doc.(Revised 1-6-03) Page 2 of 6 <br />