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AV, LICATION - SPECIAL PURPOSE PLAN <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> �rFO <br /> TO BE COMPLETED BY THE APPLICANTPRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: CIV (. a,�,A t.4 Name: <br /> Address: Address: <br /> Phone: Phone: <br /> �— PROJECT DESCRIPTION' <br /> Proposal - <br /> Description of the proposed project: <br /> f <br /> 7 , <br /> L <br /> Business name(BDA): QJ <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Number of Parcels Property Size Williamson Act <br /> 1' Contract <br /> A�uWJ ❑Yes Iallo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): V e.( L JZ <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: ' -S <br /> FMEVSVOPlanning Application FomMAgricultural Preserve.do Page 3 of rJ <br /> (Revised 8-10-05) <br />