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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> -COUNTY LOT LINE ADJUSTMENT <br /> 17 FILE NIJMBE� O o <br /> Owner Information Applicant Information <br /> Name: 2 /( O _% ,42A-Y Name: <br /> Mailing Address: 1'770 j]C>>( 1p/ov Mailing Address: pe) ;?6_4c: 06 5_ <br /> Phone: (7i0,9) qjam'_ 3�lj Phone: Lo 3` � —/1j7Z <br /> Email: Email.- <br /> Applicant's <br /> mail:Applicant's Representative Information Design Professional Information <br /> Name: Name: <br /> Mailing Address: Mailing Address: <br /> Phone: Phone: <br /> Email: Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> TLS i 1.` y ,AA- © " 7-IA/1) CX 151'inV?,' f�i�1C Fc. <br /> Property Information <br /> Assessor Parcel Property Address Property General Zoning Williamson Act <br /> Number Size Plan Contract(Y or N) <br /> 140�''6 - / Nom 14-550, d-1--Ed 37 Z 61C, A 6--J& y <br /> ON V56.17- /V O 5 ,vt ,36 a- Q A-6-5� H <br /> Page 1 of 3 <br /> Updated 09/01/2020 <br />