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COMMUNITY DEVELOPMENT DEPARTMENTSQ \ JQAQUINADMINISTRATIVE / CONDITIONAL USEPERMIT <br /> -- - - COU 4A' TY - - <br /> - L <br /> r FILE NL 3n1J ' <br /> I <br /> PRE -APPLICATION : ❑ <br /> Owner Information Applicant Information <br /> Name : Crystal Enterprises , L . P . Name : Crystal K . Hicks <br /> Mailing Address : P . O . Box 1259 Mailing Address : P . O . Box 1259 <br /> Woodbridge , CA 95258 Woodrbidge , CA 95258 <br /> Phone : 209- 334 -4994 Phone , 209 - 642 - 0092 <br /> Email : ckirst@gmail . com Email : ckirst@gmail . com <br /> Applicant' s Representative Information Design Professional Information <br /> Name : N /A Name : Baumbach & Piazza <br /> Mailing Address : Mailing Address : 323 W . Elm St . <br /> Lodi , CA 95240 <br /> Phone : Phone : 209 - 368 - 6618 <br /> Email : Email : jelson@bpengineers . net <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> t❑ Administrative Use Permit <br /> Type of application ( check only one , separate applications <br /> required for each ) : or <br /> ❑ Conditional Use Permit <br /> Project Summary : Build 1 4 - plex and 1 ADU . <br /> Will the project include more than one ( 1 ) phase ? (maximum of 2 phases) Yes : ❑ No : ■❑ <br /> Length of time (maximum of 5 years) : 3 <br /> Note : For questions regarding phasing, contact the Planning Division at 209-468-3121 . <br /> Related Planning Application ( PA) number( s ) : <br /> Is this application tied to another PA- 2200277 ( GP ) <br /> discretionary application ? Yes : Q No : E] PA- 2200277 <br /> ( ZR ) <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 015 - 450 - 11 19811 Lilac Street ( a portion of the APN ) 15 , 600sf Yes : ❑ No : [j] <br /> Yes . ❑ No : ❑ <br /> Yes : ❑ No : ❑ <br /> Page 1 of 6 <br /> 03 /28 /2023 <br />