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APPLICATION - MINOR SUBDIVISION <br /> 2•' <br /> 4. /._, __i QUIN COUNTY COMMUNITY DEVELOPMENT DEPAF�TMENT <br /> W < <br /> SAN JOAFILE NO: MS- fi' <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: -5 e ccr r r/ SeS Name: MONTE K. SEiBEL <br /> Address: le76Land Surveyor <br /> r Address: <br /> 221 West Oak Street, Ste 132 <br /> C �`5 z Lodi, Ca 95240 <br /> Phone: Phone: ('Z O 9 ) 46 '2-'l 9 0 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed r9ject: <br /> TO BE COMPLETED F4R ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-61Q.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? <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 Williamson Act Contract <br /> U <br /> ❑ Yes No <br /> Pro ertAddress: /✓ <br /> F:\DEVSVS\Planning Application FormsWinor Subdivision(Rev.05-11-09) Page 3 of 9 <br />