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i ) <br /> 449 0 1 a PLAN APPLICA ION /AMENDMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER . - <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> ,r <br /> PLAN : i3 General Plan <br /> ( Check only one ) <br /> ( Separate application needed for each document. ) ❑ Master Plan for <br /> ❑ Public Financing Plan for <br /> ❑ Specific Plan No . ( if any) for <br /> ❑ Special Purpose Plan for <br /> ❑ Other <br /> TYPE OF AMENDMENT : MAP ❑ TEXT ❑ BOTH <br /> U COMMUNITY <br /> ❑ OTHER LOCATION <br /> ❑ NOT A MAP CHANGE <br /> OTHER APPLICATIONS BEING SUBMITTED CONCURRENTLY <br /> Type Application Number (to be completed by staff) <br /> imr <br /> 2 . 2 . <br /> 3 . 36 <br /> t�•' is V. *oto <br /> Name : <br /> Address : 1 .��; - "sem . Address : <br /> City : � c � �, State : Zip : Z52�3 City : Stater-; Zip ; .` <br /> Telephone # : - ` =�. � - Telephone #: ;oA ..-( —z_ _ <br /> FADEVSMPlanning Application Forms\ Page 2 of 7 <br /> Plan Application Amendment. doc. (Revised 05-11 -09 <br />