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p4u�N APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOP NLREP,QR1Iv1EIJ� Q <br /> FILE NO: MS- 1111 ZZSS llll VV <br /> 9��FOR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR T9.FILING THE APPLICATION <br /> Owner Information Eng'ineer/Surveyor Applicant Information <br /> Name Name: <br /> Addressp .O . Box 1076 Address: <br /> West Sacramento CA 95691 Tracy , CA 95378 <br /> Phone: 916 372-5595 Phone: 209 835-2178 <br /> PROJEC�T,DyESC,�RIPrTIOR <br /> Proposal <br /> Description of the proposed project <br /> To divide a 199 -4 acre parrpl into four PtIlin-I parrehq <br /> TO'BE'COMPLETED°FOR,ALL APPLI„CATIONW"SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(6) <br /> HoF,.T <br /> mesite;Provston ,OHE DEVELIOPNY_TITLE:.,AREAQEXCEP;TION 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 ANNA VICINITY,,DERPT ON, <br /> Property lnformatid'n <br /> Number of Existing <br /> Assessor Parcel Number(s) Property Size I Parcels Williamson Act Contract <br /> 203-200-05 1 59 ,-a r 1 1 gYes j No <br /> Property Address: 17871 East Lone Tree Road Escalon CA 95320 <br /> FIDEVSVSTIanning Application FonnsUnor Subdivision(Rev.IM9-04) Page 3 of 9 <br />