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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> -COU,\JTY SITE APPROVAL <br /> Gi-�atress grows FILE NUMBER- 120 0 00 4 <br /> Owner Information Applicant Information <br /> Name_---: 8LALL -I;,/uDEK kAok Narne: j1JA-&' -1 CT. Qi <br /> --- <br /> Mailing Address: si -CT Mailing Address: <br /> 7TTY1W Q4 5�'�;jC C v-1 q ,53cv <br /> 9-,:" <br /> Phone: Phone:26 <br /> Email: <br /> (('In <br /> C L)iO. Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> Ta 0 bR U,r/ <br /> i,(� -7i 'TAML-P U 11-5 'TO,W 64S <br /> LI-)PL— 'TA I C ,qe7) <br /> .....-------- <br /> ............. ............. <br /> Will the project include more than one(1)phase?Yes D,❑ NoEl <br /> Number o'phases: Length of time: <br /> Note:For questions regarding phasing, contact the Planning Division a.,209-466-3121. <br /> Property Information <br /> Assessor ParceNurrber Property A,-4dress Properly Vv'illiarrsor.kt C-ontract(Y or N) <br /> Size <br /> 2 <br /> ST <br /> f A <br /> Page 1 of 6 <br /> Updated 08122.f2019 <br />