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PA - 0400699 <br /> _..� i �. u�si ii= ���i��,_ _ a���i►ii r� �%is�� ►i � _a�i� <br /> i'-_ SAN .InAn111N ROI IlNTY CnMfNITFI <br /> 11NY nFVOP!„1FII <br /> NT FPARTMFNT I <br /> l pas; n r yin. un <br /> 1 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: r 1 GQor . Name: MONTE K_ SEIBEL <br /> LAND SURVEYOR <br /> Address: 3 S. H Q 9 Address: 221 WEST OAK STREET, SUITE B-2 <br /> cK C 9 <br /> - PHONE(209) <br /> CALIFORNIA 95240 <br /> (209)334-6523 FAX(209)334-2611 <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the Proposed p[o'ect: <br /> r 3Via C r �2 k-WQ :PC'VCP1n 4cirn One <br /> TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(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 residence on the proposed homesite parcel? <br /> • If yes, how long has the residence been on the property? <br /> ❑ Financing Parcel <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Propefty Information <br /> Number of Existing <br /> Assessor Parcel Numbers) Property Size Parcels Williamson Act Contract <br /> 1�59 - 20 -25 9 S .F I Yes KI No <br /> Property Address. <br />