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SAN J O A Q U I N COMMUNITY UEVELVPMENT DEPARTMENT <br /> COUNTY SITE APPROVAL/USE PERMIT <br /> FILE NUMBER: <br /> PRE-APPLICATION: ❑ 11 <br /> Owner Information Applicant Information <br /> Name:Rajvinder Kaur Name:Rogers Media Company Inc. <br /> Mailing Address:1340 Whispering Wind Drive Mailing Address:P.O. Box 97 <br /> Tracy, CA 95377 Sausalito,CA 94965 <br /> Phone:209-836-9400 Phone:530-304-5770 <br /> Email: Email:matt@rogersmediacompany.com <br /> Applicant's Representative Information Design Professional Information <br /> Name:Matt Rogers Name:RMG Inc. <br /> Mailing Address:P.O Box 97 Mailing Address:4424 North 24th Street <br /> Sausalito,CA 94965 Phoenix,AZ, 85016 <br /> Phone:530-304-5770 Phone:602-230-8634 <br /> Email:matt@rogersmediacompany.com Email:bob@rmg-online.com <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> Site Approval <br /> Type of application(check only one,separate applications or <br /> required for each): <br /> ❑ Use Permit <br /> Project Surn ary:Install one 12'tall x 25'long single faced, Illuminated,off premise sign, 50'overall height from grade. <br /> Will the project include more than one(1)phase? (maximum of 2 phases)Yes: ❑ No: <br /> Length of time(maximum of 5 years):NA <br /> Note:For questions regarding phasing,contact the Planning Division at 209 68-3121. <br /> Related Planning Application(PA) number(s): <br /> Is this application tied to another Yes: ❑ No: E <br /> discretionary application? <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 239-050-23 3334 West 11th Street,Tracy, CA 3.86 Acres Yes: ❑ No: Q <br /> Yes: ❑ No: ❑ <br /> Yes: ❑ No: ❑ <br /> _J <br /> Page 1 of 6 <br /> 08/13/2021 <br />