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r <br />$�N< ���u� COMMUNITY DEVELOPMENT DEPARTMENT <br />W .._.............. N .._ SITE APPROVAL <br />I <br />r�wsr grows here. � <br />FILE NUMB, <br />a.� 0 0 P <br />Owner Information <br />Applicant Information' <br />Name: ' - <br />�. Name: _n, L -Q Uttf p'.r P4^t` <br />Mailing Address:`aw <br />Phone: <br />Mailing Address: <br />T c� <br />Phone: <br />G1� , �I 4 <br />'3 (-� <br />Emaii:.. r ®( <br />(� Email:j� <br />OtD i{100, <br />Applicant's Representative jinf6ration <br />Design Professional`lnformation <br />Name: <br />Name: <br />Mailing Address: <br />Mailing Address: <br />a <br />Phone: <br />LWPhone: <br />Email: <br />IV'Email: <br />p LI- a <br />Project Description <br />(Attach additional sheets as necessary) <br />I Tt Y 5 Keti AW <br />rr -C�o <br />D iL <br />122" - <br />Will the projedt include more than one (1) phase? (maximum of 2 phases) Yes ❑ No <br />Length of time `(maximum of 5 years): a <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 />ss <br />�. <br />Updated 08/2812020 <br />F <br />