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. �NJ+�Gt�i„cti'7.'i�i �NtZYZT�JiJI.� wen <br /> DATE : <br /> (To be Completed > y l:pplicant ) <br /> NOTE : In completing this form, use additional sheets if necessary . <br /> Answer all questions to the best of your ability. if question <br /> is not applicable to your project , write NA ( not applicable ) . <br /> Please do not leave blanks . Incomplete forms cannot be accepted. <br /> PERSON COMPLETING FORM PROPERTY OWNER __AGENT OF OWNER <br /> Name Terry Piazza <br /> Address_ 323 W. Elm Street <br /> City Lodi - --_-----__---_-- -- _ --- <br /> State/Zip CA 95240 <br /> Phone (209) 368-6618 ----_A. PROJECT DESCRIPTION <br /> 1. Type of application : Q use Permit , Dx Major Subdivision, <br /> Q Zone Reclassification, ❑ Minor Subdivision, n Site Approval , <br /> Zone variance, ❑ Other : _ <br /> 2 . Project location: Woodbridge - West end of Auaus a Street <br /> Describe 'the project; i .e. , recuest being made and nature of use . <br /> Identify specific project components : <br /> (ATTACHMENT 1 ) <br /> 3 . Total acreage of project: 13.5 # of existing parcels : 2 <br /> Assessor Parcel # (s ) : <br /> p�j-izJ— /Og <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site, provide title and date: <br /> 5 . Other permits and approvals (County, Regional, State and Federal ) <br /> required for this project: <br /> PERMIT AGENCY <br /> Sales State Dept. of Real Estate <br /> n <br /> I <br /> - Y C ID87 <br /> t <br /> SAN JOAQUIN COUNTY <br /> PLANNING DEPARTMENT <br /> Planned District 17 - ( 8/86 ) <br />