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i <br /> SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> C O t_1 N T Y SUBDIVISION <br /> FILE NUMBER: PQ 2 2 0 IrD, 0 5 2 <br /> PRE-APPLICATION: ❑ <br /> Owner Information Applicant Information <br /> Name:Sammy&Heather Cox 2015 Trust Name:Dillon&Murphy,c/o James Selke <br /> Mailing Address:PO Box 1112 Mailing Address:PO Box 2180 <br /> Linden,CA 95236 Lodi, CA 95241 <br /> Phone: 916-416-7781 Phone: 209-334-6613 <br /> Email:sammycox@tandsine.us Email:jselke@diIlonandmurphy.com <br /> Applicant's Representative Information Design Professional Information <br /> Name: Name: <br /> Mailing Address: Mailing Address: <br /> Phone: Phone: <br /> Email: Email: <br /> Project Details <br /> (Attach additional sheets as necessary) <br /> On Minor Subdivision For Minor Subdivisions, is a Parcel Map <br /> Type of Subdivision(check only Waiver Proposed? <br /> one,separate applications required or Yes: F No: ❑ <br /> for each): If yes,please submit the Parcel Map <br /> ❑Major Subdivision Waiver application with this application. <br /> Project Description: To subdivide the existing parcel into two parcels using the East Bay M.U.D. property as the dividing line. <br /> Does the proposed subdivision include a Homesite Parcel or <br /> a Homesite Parcel for Financing Purposes Only?(See E] Homesite Parcel <br /> Section 9-610.3 of the Development Title for Homesite <br /> Regulations) ❑ Homesite Parcel for Financing Purposes Only <br /> Related Planning Application(PA)number(s): <br /> Is this application tied to <br /> another discretionary Yes: ❑ No: no — - <br /> application? <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 053-190-01 15780 N. Clements Road, Lodi, CA 95240 150.86 AC Yes: [j] No: [I— - Yes: ❑-No: E] <br /> Yes: ❑ No: ❑ <br /> Page 1 of 4 <br /> 08/13/2021 <br />