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f <br /> ` = APPLICATION - MINOR SUBDIVISION <br /> ` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT.DEPARTMENT <br /> FILE NO. MS <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION, <br /> i Owner Information Engineer/Surveyor Applicant Information <br /> Name: Name: U [J�!! /' <br /> ` l <br /> } Address: 155 5 Address: U, (S �� <br /> Phone: ZQ . 26,6—Zj/ Phone: r Z <br /> PROJECT DESCRIPTION <br /> Proposal I <br /> Description of the proposed project: <br /> f <br /> CrG .2 ACS A �.�`r6�✓ <br /> - I <br /> ELadl Wc <br /> i <br /> TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(x) <br /> 4 (Homesite Provision) OF THE DEVELOPMENT TITLE: AREA EXCEPTION IN THE AGRICULTURAL ZONES. <br /> Is the proposed project fora (check one and provide the requested information): <br /> � Homesite Parcel <br /> 3 Have you created a homesite parcel since July 29, 1992? I` <br /> (It yes.this application cannot be accepted and processed). ; <br /> • Have you owned the property for more than ten years? li <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 /> �i <br /> Is there an existing single family dwelling or mobile home on a permanent foundation on the proposed homesite parcel? <br /> i If yes, how long has the single family dwelling or mobile home on a permanent foundation been on the property? I1 <br /> I <br /> ❑ f=inancing Parcel <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> iI � " <br /> Number of Existing <br /> Assessor Parcel Number(s) Property Size Parcels Williamson Act Contract <br /> ❑ No ' <br /> CA–r" Property Address: - Szs f/. /�i�ry T C -CA– <br /> F 1,DEVSV3%P!a nni no <br /> ,DEVSVS?P!annino Application Form_lMinor Subdivision(Rev 12-09-04; Page 3 of 9 <br />