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f <br /> APPLICATION - SITE APPROVAL <br /> y PRIVATE .RIGHT OF WAY -- ANTIQUATED SUBDIVISION <br /> ' SAM:JOAOUiN COUNTY COMMUNITY DEVELO MENT DEPARTMENT <br /> P FILE NUMBER:. SA- <br /> r 4 <br /> [lFOR� <br /> F77711, TQ.BE COIIAP� TEQ'glT�1E'iPPL'1L T fit 0 ;� i�RSPLICATION <br /> '.,�.:-.�k>' <br /> �r� hr� ]�f�Y + �/� 1G G�s 'iS r�9 f'1M /} (J t.✓1��P <br /> VL— <br /> Name: <br /> Address: (;0,. 71 Address: <br /> C,k_61 1') 6+. CSZ3 <br /> Phone Z® CUCC��7 <X24 0r Phone <br /> �'• <br /> k <br /> Description-of the proposed project`. <br /> { <br /> {, Business name (DBA): <br /> � PROPEtZTY AN©VICiNIT�DESCRIPTION <br /> ProserE ifolrma#iOn <br /> P <br /> nY <br /> I Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> Q `3 _—. C7.4. a✓_� • �S 1 /' �Q5/ C2. El Yes No <br /> Property Address: <br /> ExiSting Land Uses <br /> On-Site Uses(Include Ag Crops): k/0IV e-- <br /> Uses <br /> Uses to the North: <br /> Uses to the East: !�-1mo_ -4(/� r!�'' �f '� /` !2 M <br /> I <br /> Uses to the South: f 122S!� C" �- <br /> Uses to the West: j /ze S,ro(e Z C-2— <br /> i <br /> F:IDEVSVC\Planning Application Forms\Site Approval) Page 2 of 7 <br /> Private Right of Way.(Revised4-2-03 <br />