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SAN JOAQ U ! N COMMUNITY DEVELOPMENT DEPARTMENT <br /> COUNTY MAP AMENDMENT <br /> PA Z L 0 0 2 13 <br /> FILEMB R • <br /> PRE -APPLICATION : ❑ <br /> Owner Information Applicant Information <br /> FN'ame .jTrjqWS 19) Gni jeg VTgpj Name : <br /> Mailing Address : " R 4 ,0 / (!` j Mailing Address : 6(j' Caro/f12o 4 ; le. <br /> Phone : L12� � y� Phone : 2d �Z <br /> Email : Qr�l�� ly /' rI eyL Email : Irl Sr, semro n �- � l71AW/9 6 m <br /> Applicant Representative Information Design Professional Information <br /> Name : ,s' ,k, A5 /G,R Name : <br /> Mailing Address : Mailing Address : <br /> Phone : Phone : <br /> Email : Email : <br /> Proposal <br /> (Attach additional sheets as necessary) <br /> ,2rGeneral Plan Designation <br /> Type of Map Amendment ( check all that apply ) : <br /> Zone Reclassification <br /> EXISTING PROPOSED <br /> General Plan Designation ( s ) : �j General Plan Designation ( s ) : � � W <br /> Zone ( s ) : A ' �C� Zone ( s ) : <br /> Reason for Request : 77tC PYv qs � 4� l� ok1 G C� <br /> /j ; . d s �r r� wy// a /% 04 <br /> Related Planning Application ( PA) number(s ) : <br /> Is this application tied to Go'�i'►< � jU� Mi <br /> j �� r ;lley <br /> another discretionary Yes : ` No : <br /> application ? /d� g elA / 6'veag 'el <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> J - ;u - 5 ( / g/ � l 5T, N, n � , ' Gj Yes : E] No : <br /> 13 � '- > 4e e , �C'/ Yes : ❑ No : Ege <br /> Yes : ❑ No : ❑ <br /> Page 1 of 4 <br /> 04/26 /2023 <br />