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SAN J OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ LOT LIME ADJUSTMENT <br /> FILE NUMBEFAZ 2_ o�, 7 <br /> Owner Information Applicant Information <br /> Name: 0 �'`C, 1£'�V L�1r !l +� A <br /> Mailing Address: �j � � Mailin Address: ` _ ��y; <br /> Phone: �'-I Phone -- <br /> Email: <br /> tx 6Y"x G C cC• Email: <br /> Applicant's Representative Information Design Professional Information <br /> Name: �1 Y`T` Yl rZ C� Name: :i/i h Y C � rl �r <br /> Mailing : J ' <br /> Address_ � ___ _ �C Mailing Address:, <br /> MCA y <br /> I ? <br /> Phone: QLD cj F, Y%�1 —C—. � �� Phone: cj� - —] ' <br /> c� µZ=s -._ _— - <br /> Email: Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> T�— <br /> � <br /> Property Information <br /> Assessor Parcel Property Address Properly General Zoning Williamson Act <br /> Number Size Plan Contract(Y or N) <br /> 1-560 1. v\_u, <br /> Page 1 of 3 <br /> Updated 0910112020 <br />