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H. Parcel and Land Owner Information AP1,l(000-000-00 Format) Gross Acres I ttt1 C7a tct 2. 3.. A. Adilitionil silects ('01.l*11i;Al"N nunlbors cLin b,. toitnd<m the(3lstriat-tvebtilw at 4U1;t1 Li j ,'111r.31r+,. 1. Prbject BeMopment and Operation. _ .... ... ... Will the project require demolition of existing structures? ❑ Yes,complete 14 tlO No,complete 1-3 1-1. Demolitiu.n Total square feet of building(s)footprint to be demolished: Number of Building Stories: Demolition Start Date(Month/Year): Number of Days for Demolition; 1-2. Timing Expected number of work days per week during construction? Will the project he developed in multiple pleases? V5 days ❑6 clays ❑7 days (/Yes,compleic 1-3 ❑ No,complete 1-4 1-3. Phased Site Development and Building Construction in a"Id!ntilt w ths�tilt+l"I11111ioll bolo'ly tliC<ipplicenl I?la'submil a pfl"Isv 41id01(iC neti*Vita; Ilie ph-'V Sl)a:'ti)fic ncti ltv liowliiw Kmw cwi be found on dic DiAri,Cs w(cbsll.e at tt_L414',l'n IJC1'il li'.Cl.;lam?. Start of Construction(yfonth!Year): 0 IQ-L3 Gross Acres: A Cr e S End of Construction(Month/Year): D Z.o L N etAcre s(or e3 devoted to bui Migs/structu ies); First Date of Occupation(Month!Year); Paved Parking Area(#of5paces): 1351cling Square Footage: Number of Dwelling Units: 0 Start of Construction(Mont)!Year): Gross Acres: 2 End of Construction(Month/Year): Net Acres(area devoted to buildings/structures): First Date of Occupation(Month/Year): Paved Parking Area(#of Spaces): Building Square Footage: Number of Dwelling Units: Start of Construction(MonttuYear): Gross Acres: 3 End of Construction(Month!Year): Net Aercx(area devoted to buildings/structures): First Date of-Occupation(Mgrrtli/Year): Paved Parking Area(#of Sliaees): :Building square Footage: Number of Dwelling Units: start of Construction Qvionth/Year): Gross Acres: 4 End of Construction(Month/Yeae): Net Acres(area devoted to buildings/structures): First Date of Occupation(Month/Year): Paved Parking Area(#of Spaces): Building Square Footage: Number of Dwelling Units: Attdit%rtiitil';Iteets for llhasing inforniatitvt can btr found on til l li,tl ict'4 i.ilisite u w ti.w:y�llesrnit,r�r , Central Region Office: 1990 E.Gettysburg Ave.Fresno,CA 93726-0244 TEL(559)230-6000 FAX(559)230-6061 WEB tyrv,vaUeyaic,tic t Page 2 of 12 ResidentialtNon-Residentlat/Mixed-Use Application Form Revised June 28:2019