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COMMUNITY DEVELOPMENT DEPARTMENT <br /> SAN JOAQUIN <br /> ISTRATIVEI ONDITIONAL USE PERMIT <br /> COUNTY OF <br /> DMIN <br /> . , „ Greotrfss grows f7erp . <br /> 6QLE NUMBER : FF <br /> PRE -APPLICATION : ❑ <br /> I IF <br /> Owner Information Applicant Informa>Eion4 .1 <br /> Name : M Ir • Name : Vl . � • ef Atop <br /> Mailing Address : <br /> Mailing Address PO X <br /> 5 S p IS CSA q �(o30 <br /> Phone : Go S� 7 2 T Phone : q <br /> a o <br /> t ! - re�das v'� eo �cc� st • ✓�e-E- <br /> Email : 5Ct �02 v' i Email : sIF <br /> Applicant's Representative infI ormlon eslgn Professional Information <br /> 1144 <br /> Name : Name : �� s <br /> Mailing Address : Mailing Address 50 TTO► T'� h-C � � ' <br /> [2.e.461 % GA 9 60 22 - 1 IS <br /> Phone : Phone : Q 221 5 yZ �•�° <br /> Email : Email : S � ISOA 601 S V) r . CfX�1 <br /> Project Description <br /> I r IF IF F IF IF(Attaeh additional siheefs as nece <br /> Administrative Use ermit <br /> Type of application (check only one , separate applications or <br /> required for each ) : <br /> ❑ Conditional Use Pe smit <br /> Ism <br /> Project Summary : <br /> who <br /> aC ' <br /> Is I <br /> Ae <br /> 5 6L P deSi coi 1A �- <br /> Will the project include more than one ( 1 ) phase '? (maximum of 2 phases) Yes : ❑ o : <br /> Length of time (maximum of 5 years) : <br /> Note: For questions regarding phasing, contact the Planning Division at 209468-3121 . <br /> Related Plar ning Application ( PA) number(s ) : <br /> Is this application tied to another <br /> discretionary application ? Yes : No : <br /> ❑ <br /> IF . IF IF IF . F I IFPropecky Infarmakfgn <br /> FAssessorel NumberProperty Address Property Size Williamson Act Contract <br /> — � ,2. i KGo <br /> ?� Yes : ❑ No : <br /> Yes : ❑ No : ❑ <br /> Yes : ❑ No : ❑ <br /> Page 1 of 6 <br />