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P� PLAN APPLICATrON/AMENDMENT <br /> e' (-SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> %F'o'R�`�P FILE NUMBER: <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> F(C <br /> LAN: General Plan <br /> heck 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: MAP ❑ TEXT ❑ BOTH <br /> ❑ COMMUNITY <br /> ❑ OTHER LOCATION <br /> ❑ NOT A 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:-5,4m FName:D �-E H"cE FAPM►L-y � T. <br /> Address: �y 2 E��� �� � Address. 120 ( 7-7 S, MAC-A,V-7-402- Poet VC <br /> City:'5-700, =-rO hl State: A Zip:`��� f Q City:'izAC y State: ':A* Zip: <br /> Telephone#: ;7-4`� Y7 44 "2 C? Lj Telephone#: - <br /> F\DEVSVC\Planning Application Forms\ Page 2 of 7 <br /> Plan Application Amendment doc (Revised 11-05-07 <br />