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PPL CATI I SU IV SIO <br /> SAN JOAQUIN.COUN T Y COMMUNITY DEVEL�Q rEN�� � ® N <br /> FELE NO: M <br /> g <br /> 'Lir-nRt� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: J � Name: <br /> ~ Address: .5 ev eB Address: d77 <br /> Phone: J 'f .. ��/ Phone: '24�7 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Desai tion of the proposed:project: <br /> TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECT ION-9-S14:3,(a) <br /> Homesite Provision OF THE DEVELOPMENT TITLE: AREA EXCEPTION'INTHE 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 /> I Is there an existing single family dwelling or mobile home on a'perrrianent 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 WiAiamson Act Contract <br /> .� 3 V Yes ❑No <br /> Proe cAddress:Add L � �� S�5_0 2. <br /> F:IDEVSV3TIanning Apoc4on FormsWirsor Subdivision(Rev.12.09-09) Page 3 of <br /> - <br /> #vd�� <br /> - � <l. � � '+f: :'�„ �, h 8 �ti4 5 ie�F�,R 1.b •� Yh3. — jl. <br /> �' �,,, A� ,;r � r �,[� r 1'�'ei�� ..��� 7� 'y�:. �. +'�+ . i°� „k �t�'a; :�'�y xi �.� ��•�. _��! �. 46'� 3 Fti _'.. <br />