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SAN JOADMIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> C(DU N—1 v- LOT LINE ADJUSTMENT <br /> G!eotness Grows here. <br /> FILE NUMBE4ftA, <br /> ra-t-o-N 6 0 <br /> Owner Information Applicant Information <br /> -Name, iu e INam <br /> e: " <br /> rMailing Address: e, wn'v) /)�7 Mailing Address: <br /> FPhone <br /> fy N -fq- I V-1 rI Iul IV. 7 <br /> Email: Email. -s-/L <br /> C>eQVVL ApPI­icantT7MPrreservtattve Information Design Professional Information <br /> Name: /_1 r2 z Name: <br /> F—Mailing Address: Mailing Address: 5;"�'ti c •1_r <br /> Phone: Phone: <br /> Email: /5) <br /> Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> ck:,-t iv 1 <br /> CZ J6, 114,07 A4. <br /> Property Information <br /> Assessor Parcel Property Address Property General Zoning Williamson Act <br /> Number Size Plan Contract(Y or N) <br /> 7"4 <br /> -7 ? <br /> Page I of 3 <br /> Updated 09/01/2020 <br />