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¢4..1 APPLICATIONMINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> P <br /> �1{ollHi <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: Name: <br /> Address: Address: p <br /> Phone: _ 9 y{ _ Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed ed: e <br /> e r <br /> de <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 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? Yes <br /> If yes,how long has the single family dwelling or mobile home on a permanent foundation been on the property? HO yeOX5 <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 /> FProp <br /> I7 r e- ❑Yes No <br /> a Address: r-• 0 <br /> FkDEVSVS\Planning Application Forms\Minor Subdivision(Rev. 12-09-04) Page 3 of 9 <br />