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S A N SIJ O A Q U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> --COUNTY-- SUBDIVISION <br /> FILE NUMBER: PA -23CuoOg <br /> PRE-APPLICATION: I ❑ <br /> Owner Information Applicant Information <br /> Name: o(An u U) , I Name: ( <br /> Mailing Address: j 4 L( trl J Mailing Address: <br /> Phone: v Phone: <br /> Email: Email: L . Ce 4-1 <br /> Applicant's Representative Information Design Professional ma <br /> al IInfortion <br /> Name: ate.e P _ W a ", 'p7-�. Name: t �Z - (,QA V,tActLt." P c <br /> Mailing Address: 'Zt t Mailing Address: -2_f i b tJvJ;^C( <br /> Phone: Z©a —cl Phone: <br /> Email: rr LL-�, CP Email: f i,J <br /> Project Details <br /> (Attach additional sheets as necessary) <br /> Type of Subdivision(check only Minor Subdivision For Minor Subdivisions, is a Parcel Map <br /> one, separate applications required or Waiver Proposed: Yes: ❑ No: <br /> for each): If yes,please submit the Parcel Map <br /> ❑ Major Subdivision Waiver application with this application. r <br /> Project Description: 'j p ;,f2 CL Q.C'it,e.:� L, c) Z zc✓'Cry <br /> cz- <br /> r-)a r-C C--f ► S-, Ct,&A�-zqL- _ <br /> C�fes[:--� 9 i G�'/t.�®fes �✓2� ei <br /> Does the proposed subdivision include a Homesite Parcel or Homesite Parcel <br /> a Homesite Parcel for Financing Purposes Only?(See <br /> Section 9-610.3 of the Development Title for Homesite <br /> Regulations) ❑ Homesite Parcel for Financing Purposes Only <br /> Related Planning Application(PA)number(s): <br /> Is this application tied to <br /> another discretionary Yes: ❑ No: <br /> application? <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 00-1 - 190 -Z3.3 3 �i, a 1 111-it R 1� I I .Ct' A-6 Yes: ❑ No: <br /> ca w7 oea ct 'L2 Yes: ❑ No: ❑ <br /> Yes: ❑ No: ❑ <br /> Page 1 of 4 <br /> 03/28/2023 <br />