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DocuSign Envelope ID 3ACOF9C7-C806-4A4A-8B6D-E3C989D48133A PROJECT INFORMATION Please provide project-related information for the following questions: Do the proposed boundaries create an island of non-agency territory? [ ] Yes X No Do the proposed boundaries split lines of assessment or ownership? [ ] Yes X No Does the proposal involve public rights-of-way or easements? X Yes [ ] No Does the proposal involve public land or land assessed by the State? [J Yes X No Does any part of the proposal involve land under a Williamson Act [ ] Yes X No Contract or Farmland Security Zone? Does any part of the proposal involve land with a Wildlife/Habitat [ ] Yes X No Easement or Agricultural Land Conservation Easement? List the affected Assessor Parcel Numbers, Owners of record and Parcel Sizes: APN Owner Acreage 209-150-29 Rankins AG, Inc 3.0 Acres (Attach a separate sheet if necessary) Physical Location of Proposal: 17400 West Bethany Road Tracy, CA (Street or Road, distance from and name of Cross Street, quadrant of City) Has an application been filed for an underlying project (such as Development Plan, Conditional Use Permit, or Tentative Subdivision Map)? X Yes [ ] No If Yes, please attach a Project Site Plan or Tentative Subdivision Map. If No, please provide an estimate of when development will occur: List those public services or facilities which will be provided to the affected territory as a result of the proposed action: Domestic Water and Sanitary Sewer Indicate which of these services or facilities will require main line extensions or facility up- grades in order to serve the affected territory: Sanitary Sewer Provide any other justification that will assist the Commission in reviewing the merits of this request. (Attach a separate sheet if necessary) See Attached Proposed Site Use Justification of Proposal Revised: 6-3-10 Page 2 of 3