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AN JOAQUICOMMUNITY DEVELOPMENT DEPARTMENT <br /> SN <br /> —COUNTYSITE APPROVAL/USE PERMIT <br /> — <br /> Grentness grows here. 15'19zP002 <br /> FILE <br /> [PRE-APPLICATION: ❑ <br /> Owner Information Applicant Information <br /> 77) t17z_\ _5! _Nct., Name: <br /> Name: <br /> Mailing Address: Address: <br /> Phone: Phone: <br /> Email:I-V Email: <br /> Applicant's Representative Information Design Professional Information <br /> Name: r <br /> Mailing Address: Mailing Address*:--' <br /> Phone: P hone: <br /> Email: <br /> Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> F1 Site Approval <br /> Type of application(check only one,separate applications or <br /> required for each): *Use Permit <br /> Project Summary: <br /> Will the project include more than one(1)phase? (maximum of 2 phases)Yes: ❑ No: <br /> Length of 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 another Yes: El No: El <br /> discretionary application? <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> Yes: [] No: <br /> A <br /> Yes: El No: ❑ <br /> Yes: D No: E] <br /> Page I of 6 <br /> 08/13/2021 <br />