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PA00 4 APPLICATION - MINOR SUBDIVISION g SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NO: MS- TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Engineer/Surveyor Applicant Information Name: Jacqueline Polk c/o John Polk Name: A.R. San uinetti & Associates Address:12750 E Liveoak Road Address: 1150 W Robinhood Drive Ste 1C Lodi CA 95240 Stockton CA 95207 Phone: ( 209 ) 931-9432 Phone: ( 209 ) 477-0899 PROJECT DESCRIPTION Proposal Description of the proposedproject: To divided 51 . 19 acres net acreage of two existing arcels into three parcels . Parcel 1 to contain 5 . 00 acres net Parcel 2 to contain 41 . 19 acres net and Parcel 3 to contain 0 acres (net) , TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(a) Homesite Provision OF THE DEVELOPMENT TITLE: AREA EXCEPTION IN THE AGRICULTURAL ZONES. Is the proposed project for a (check one and provide the requested information): ❑ Homesite Parcel • Have you created a homesite parcel since July 29, 1992? (If yes,this application cannot be accepted and processed). • Have you owned the property for more than ten years? (If no,this application cannot be accepted and processed). (If yes, please provide a copy of the recorded grant deed for the property). • Is there an existing single family dwelling or mobile home on a permanent foundation on the proposed homesite parcel? • If yes, how long has the single family dwelling or mobile home on a permanent foundation been on the property? ❑ Financing Parcel PROPERTY AND VICINITY DESCRIPTION Property Information Number of Existing Assessor Parcel Number(s) Property Size Parcels Williamson Act Contract 51 .19 Ac. 2 1 UYes ❑ No Pro a Address: 10549 & 10749 N Jacktone Road, Lodi, CA 95240 F.-VEVSVS1Planning Application Fonnsw9nor Subdivision(Rev.12-09-04) Page 3 of 9