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�N �QAQ� �N COMMUNITY DEVELOPMENT DEPARTMENT <br /> _.__.00u NTY_..._... SITE APPROVAL/USE PERMIT <br /> FILE NUMB <br /> PRE-APPLICATION: ❑ <br /> Owner Information Applicant Information <br /> Name: Vi (t ,,164 If AL4C4rC;r2 Name: -0 <br /> Mailing Address: L-oWM AG Mailing Address: ?D gp / p� •) <br /> L-0 fl CA-• 17 17.qZ VVI gti,;D6-e- <br /> Phone: 35 :54-7 _j;76Phone: Zo J 3 5 <br /> Email: 'S rtGHil AF}Dv Email: -.0 Z O'U <br /> Applicant's Representative Information Design Professional Information <br /> Name: Name: A <br /> Mailing Address: Mailing Address: <br /> Phone: Phone: <br /> Email: Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> Site Approval <br /> Type of application(check only one, separate applications <br /> required for each): or <br /> ❑ Use Permit <br /> Project Summary: ^ � �- �'c✓^ /E ��1 � �i �'►G(f ci f�vc� /� <br /> Will the project include more than one(1) phase? (maximum of 2 phases)Yes: ❑ No: Sd <br /> Length of time(maximum of 5 years): 1=0 fL IL V 9/L_ <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 <br /> discretionary application? Yes:t7:1 No: 1 <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> S-U, liq . Law Zit. ` Yes: ❑ No: <br /> Yes: ❑ No. ❑ <br /> Yes: ❑ No: ❑ <br /> Page 1 of 6 <br /> 08113/2021 <br />