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SAN 10AQUIN <br />COUNTY <br />Gr atness grows her . <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />SITE APPROVAL/USE PERMIT <br />FILE ,gA2,200192 <br />Project Description <br />(Attach additional sheets as necessary) <br />PRE -APPLICATION: <br />❑ <br />Owner Information <br />Applicant Information <br />Name: Bart Robertson <br />Name: Bart Robertson <br />Mailing Address: 25000 Sequa Ln., Acampo: CA 95220 <br />Mailing Address: 25000 Sequa Ln., Acampo, CA 95220 <br />Note: For questions regarding phasing, contact the Planning Division at 209-468-3121. <br />Is this application tied to another <br />discretionary application? <br />Phone: 209 329-9446 <br />Phone: 209 329-9446 <br />Email:bar(@rpmcompany.com <br />Email: bart@rpmcompany.com <br />Applicant's Representative Information <br />Design Professional Information <br />Name: Evan Zeff <br />Name: Evan Zeff Architect <br />Mailing Address: 1518 K Street <br />Mailing Address: 1518 K Street <br />Modesto, Ca 95354 <br />Modesto, CA 95354 <br />Phone. 209.248.7633 <br />Phone: 209.248.7633 <br />Email: evan.zeff@gmail.com <br />Email: bart@rpmcompany.comil.com <br />Project Description <br />(Attach additional sheets as necessary) <br />Type of application (check only one, separate applications <br />required for each): <br />❑E Site Approval <br />or <br />❑ Use Permit <br />Project Summary: New 3,145 sq. ft. SFR with 967 sq.ft. attached garage and 238 sq. ft. covered patio <br />Williamson Act Contract <br />003-100-330 <br />T.B.D. <br />Will the project include more than one (1) phase? (maximum of 2 phases) Yes: ❑ No: Q <br />Length of time (maximum of 5 years): 2 years <br />Note: For questions regarding phasing, contact the Planning Division at 209-468-3121. <br />Is this application tied to another <br />discretionary application? <br />Yes: El No: F1 <br />Related Planning Application (PA) number(s)- <br />Property Information <br />Assessor Parcel Number <br />Property Address <br />Property Size <br />Williamson Act Contract <br />003-100-330 <br />T.B.D. <br />40.71 acre <br />Yes:❑ No: ❑ <br />Yes: ❑ No: ❑ <br />Yes: ❑ No: ❑ <br />Page 1 of 6 <br />08/13/2021 <br />