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APPLICATION - MINOR' SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVEL PMENT DEPARTMENT <br /> FILE NO: M5 A 0 7 0 0 4 9 <br /> F <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> IOwner Information Engineer/Surveyor Applicant Information <br /> I <br /> Name: �'' , �L�S // Name: MONTE K. SEIBEL <br /> Address: D 8 Z- / C O/S Rd Address: LAND SURVEYOR <br /> 221 WEST OAK STREET, SUITE B-2 <br /> f C ca Z LODI,CALIFORNIA 95240 <br /> Phone: Phone: PHONE(209)334-6523 FAX(209)334-2611 <br /> PROJECT DESCRIPTION <br /> Proposal . . <br /> Description of the proposed project: <br /> i T r'o r0C1-T e S 0161/ e- 0 <br /> 2 11 lc/ 1-7 <br /> TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(a) . <br /> Hornesite 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 of Existing <br /> Assessor Parcel Number(s) Property Size Parcels Williamson Act Contract <br /> �7 Yes ❑ No <br /> Pro /Address: J 7U , l'-'� ( � / <br /> F:IDEVSMPIanning ApIA"tion ForrnsVaMnor SubdMslon(Rev.12-04-04) Page 3 of 9 <br />