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SAN JOAQUIN COMMUNITY DEVEL� .:>MENT DEPARTMENT <br />-COUNTY- <br />Greotness grows here. <br />Owner Information <br />Name: <br />Name: <br />Mailing Address: <br />Phone: <br />Email: <br />Phone: <br />Email: <br />SUBDIVISION ?R :100 2 3 9 <br />PRE-APPLICATION: 0 <br />Applicant Information <br />Project Details <br />Type of Subdivision (check only <br />one, separate applications required <br />for each): <br />(Attach additional sheets as necessary} <br />�Minor Subdivision <br />or D Major Subdivision <br />For Minor Subdivisions, is a Parcel Map <br />Waiver Proposed? <br />If yes, please submit the Parcel Map <br />Waiver application with this application. <br />D Homesite Parcel <br />Yes: D No: 5,.. <br />Does the proposed subdivision include a Homesite Parcel or <br />a Homesite Parcel for Financing Purposes Only? ( See <br />Section 9-610.3 of the Development Title for Homesite <br />Regulations) D Homesite Parcel for Financing Purposes Only <br />Is this application tied to <br />another discretionary <br />application? <br />Assessor Parcel Number <br />Related Planning Application (PA) number(s): <br />Yes:� No: D <br />Property Information <br />Property Address Property Size <br />0,"' 1.o, <br />Page 1 of 4 <br />Williamson Act Contract <br />Yes: □ No:� <br />Yes: □ No: & <br />Yes: □ No: 0 <br />08/13/2021