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(Pfi 19'0-0 17 9. <br /> SA `l j QAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> Owner Information Applicant Information <br /> Name: ' t ��7J-A-,a; j —71 W fi o.1 A, Name: H 1�� <br /> Mailing Address: S Mailing Address: <br /> `` l' <br /> , <br /> Phone: 3 t Phone: A ( <br /> Email: �tVL dttil Gt 5E`cb�j y'�1 C{ } I'�`f's Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> Will the project include more than one(1)phase?Yes❑ No <br /> Number of phases: I I Length of time: (f-i\ <br /> Note:For questions regarding phasing, contact the Planning Division at 209-468-3121. <br /> Property Information <br /> Assessor Parcel Number Property Address Property Williamson Act Contract(Y or N) <br /> Size <br /> Page 1 of 6 <br /> Updated 0412912019 <br />