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SAN 1aQQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> coUNTY_.._ <br /> _.... - Gre:i(i.`c5 �r�tYS fi: , c�i_•}"� ,i��R��.i l <br /> FILE NUMBER: Ou I i l <br /> Owner Information Applicant Information <br /> Na71J <br /> -1 . iCZ Name- <br /> Mailing Address: � <br /> \L:. C%:��:5� �-Mailing Address: <br /> t J <br /> ?none' - — Phone: �4 1 5 - "j 4L ` <br /> Email i Emait�`�-LFj <br /> Project Description <br /> (Attach additional sheets as necessarA <br /> LS <br /> W11 the project include mora than one(1)phase?(maximum of 2 phases)Yes_❑ No❑ <br /> Length of time(maximum of 5 yeas). <br /> /Jute;For questions regarding phasing,contact the Planning Dmsiant a,'209-468-3121. <br /> Property Information <br /> Assessor Parcel Number Property Address Pruperty VAllanson Act Contract(Y o-tr) <br /> Size <br /> c A <br /> tJpda:ed D5;2,(2a2C <br />