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PLAN APPLICATION/AMENDMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c•.:�;:.P FILE NUMBER: <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> PLAN: td General Plan <br /> (Check only one) <br /> (Separate application needed for each document.) ❑Master Plan for <br /> ❑ Public Financing Plan for <br /> ❑Specific Plan No. (if any)_for <br /> ❑Special Purpose Plan for <br /> /' ❑ Other <br /> TYPE OF AMENDMENT: V" MAP 13 TEXT ❑ BOTH <br /> 0 COMMUNITY ND A <br /> ❑ OTHER LOCATION <br /> ❑ NOTA MAP CHANGE <br /> OTHER APPLICATIONS BEING SUBMITTED CONCURRENTLY <br /> Type Application Number(to be completed by staff) <br /> 1. 1. <br /> 2. 2. <br /> 3. 3. <br /> APPLICANT OWNER <br /> Name: 6406— &L Name: (' <br /> �Pr 10RL �C�Y,4 jZt �� � i A3L. <br /> 1 <br /> Address: I x133 f l ' 17.0 Address: I j 157n t'J 0J Y 420 <br /> City:H 66 State: (A Zip: city:M kyq-0CA State: Zip:15336, <br /> Telephone#: tzon) e)26-- bc11- Telephone#: d �� <br /> F'\DEVSVC\Planning Application Fonns\ Page 2 of 7 <br /> Plan Application AmendmenLdoc.(Revised 05-11-09 <br />