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COMMUNITY DEVELOPMENT DEPARTMENT <br /> SAN JOAQUIN LOT LINEAX2 <br /> JUSTMENT <br /> _ COUNTY -- <br /> 30 <br /> 019 <br /> FILE NUMBER . <br /> Owner Information Applicant Information <br /> Name : <br /> F Name: <br /> Mailing Address : ? z4d/4r1 4e Mailing Address : - Q � <br /> Phone : 7 - D�c� � Phone: ) / 9 "7 Z <br /> Email : fy D i G f� y� C sxL. Email : �� � s � c �t.'l ;o�u <br /> Applicant' s Representative Information Design Professional Information <br /> Name : Name : <br /> Mailing Address : Mailing Address : <br /> Phone : Phone : <br /> Email : Email : <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> &,7 ZZ01i5w <br /> 406 /14o 916 <br /> L2ltri , � <br /> Property Information <br /> Assessor Parcel Property Address Property General Zoning Williamson Act <br /> Number Size Pla�n Contract (Y or N ) <br /> Awe; <br /> OW 3YAC /U <br /> Page 'I of 3 <br /> Updated 09/01 /2020 <br />