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O pO,U Ip <br /> APPLICAT iON - DEVIATION <br /> K <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • ���,FOAH�p.- I FILE NUMBER: DV- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: �.i,A ,r�CC,�, Name: j4{L -U <br /> 71��_qlbvvl, Ortiz <br /> -2- <br /> 5Address:: I; o S Address: �, 4*— <br /> �i 5 2� Clr�o►J t Ca <br /> Phone: - C Phone: —� <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> o' IS U <br /> n I 0L, Ilo' � tbalm, <br /> 4- t� e wiLL aj , <br /> _ A 11, <br /> I 0 � � <br /> a f F� 17o <br /> Business name(DBA): SLAG"G <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ❑ Yes No <br /> �c9 -Q� El Yes �No <br /> Property Address: ,�S I S. o 0 s4 <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): Lu <br /> Uses to the North: <br /> Uses to the East: t. <br /> Uses to the South: It <br /> Uses to the West: A G <br /> F\DEVSVC\Planning Application Forms0eviation.cm (Revised 15-03) Page 2 of 6 <br />