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PLAN APPLICAITON/AM ENDMENT <br /> 2' <br /> y< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> - TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> PLAN: X <br /> 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: MAP ❑ TEXT ❑ BOTH <br /> >k COMMUNITY 5TH 141 6 <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. -z-vr*- Yt,& C-t.-A-.>'s t F t C-W Tl dry.. 1. <br /> 2. 2. <br /> 3. 3. <br /> APPLICANT OWNER <br /> Name: <),A-,.) 3 �°'�J �'� Name: y r-\ w S <br /> Address: L 0 AZ IL-1-b � , Address: <br /> City: �`'pcJt�t�^�1-� State(---A\ Zip: 5��� City: State: Zip: <br /> Telephone#: L b 0 Telephone#: - <br /> F:\DEVSVC\Planning Application Forms\ Page 2 of 7 <br /> Plan Application Amendment.doc.(Revised 6-03-04) <br />