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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> -----COUNTY— SITE APPROVAL/USE PERMIT <br /> PA210027 � <br /> FILE NUMBER: <br /> I PRE-APPLICATION: <br /> Owner Information Applicant Information <br /> Name: G, L, ; a Name: C—- ,o <br /> Mailing Address: —, 10Aor Mailing Address: rr <br /> c <br /> Phone: "ti z-ocl) w. Phone: <br /> Email: Email: <br /> Applicant's Representative Information Design Professional Information <br /> Name: "m-'�- 5 oc" <br /> Name: <br /> Mailing Address: Mailing Address: <br /> Phone: Phone: <br /> Email: Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> ❑ Site Approval <br /> Type of application (check only one, separate applications or <br /> required for each): Use Permit <br /> Project Summary: Co vQV P_611-1 (j7 <br /> Will the project include more than one(1)phase?(maximum of 2 phases)Yes: El No: 0._ <br /> Lengthof time(maximum of 5 years): <br /> Note:For questions regarding phasing,contact the Planning Division at 209-468-3121. <br /> Related Planning Application (PA)number(s): <br /> Is this application tied to anotherv;,.— <br /> discretionary application? Yes: El No: Fj <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 3'4 1AJ- Yes: [] No: E] <br /> Yes: E] No: ❑ <br /> Yes: 11 No: El <br /> Page 1 of 6 <br /> 08/13/2021 <br />