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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> - <br /> COUNTY- - SITE APPROVAL <br /> FILE NUMBERAk 19 0 01 $1 <br /> Owner Information Applicant Information <br /> Name: Name: <br /> Mailing Address: Mailing Address: <br /> 12 <br /> � — � 17 <br /> Phone: 09--4 q Q A2 7 —2 o9 Phone: <br /> Email: [9 C( Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> n D t k cti. <br /> O s' <br /> Will the project include more than one(1)phase?Yes❑ No <br /> Number of phases: I Length of time: <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 /> i�� Jiro" , � ora z� SIS 3' 3. I� Rc- <br /> Page 2 of 9 <br />