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� �Pqu(N <br /> APPLICATION - DEVIATION <br /> Q.. < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • �. ;_+!�4 FILE NUMBER: D� °� 0 9 0 01 1 <br /> A�%FORa` <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applipant Information <br /> Nam : / J T Name: <br /> Address: F0 3Q4L�• ,Q j Address: <br /> ZD <br /> Phone o?493 Q/ Phone: 2 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> D I <br /> �In�. r� 3 ' <br /> 'w <br /> c <br /> Business name(DBA): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ❑Yes [;R o <br /> ❑Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: t� 2 <br /> Uses to the East: 7 <br /> Uses to the South: C-� <br /> Uses to the West: C <br /> F:\DEVSVC\Planning Application Forms\Deviation.doc.(Revised 6-03-04) Page 2 of 6 <br />