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4u�N <br /> APPLICATION - MINOR SUBDIVISION <br /> N.� <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PA - 0500452 FILE NO: MS- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> ` Owner Information Engineer/Surveyor Applicant Information <br /> Name: j / /O pmoi'_ 0 IC d'3'C— Name: MONTE K SEIBEL <br /> Address: v 90X 153 Address: LAND SURVEYOR <br /> CA <br /> 19 -Ml 221 WEST OAK STREET, SUITE B-2 <br /> f IYl GA LODI,CALIFORNIA 95240 <br /> Phone: Phone: <br /> PHONE(209)334-6523 FAX(209)334-2611 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed roject: Z-hll /�� �•5�,5� v, e <br /> O d c e L- % n v 4 acv cm/s <br /> a c� <br /> TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610.3(a) <br /> Homesite Provision OF THE DEVELOPMENT TITLE: AREA EXCEPTION IN THE AGRICULTURAL ZONES. <br /> Is the proposed project for a (check one and provide the requested information): <br /> ❑ Homesite Parcel <br /> Have you created a homesite parcel since July 29, 1992? <br /> (If yes, this application cannot be accepted and processed). <br /> Have you owned the property for more than ten years? <br /> (If no,this application cannot be accepted and processed). <br /> (If yes, please provide a copy of the recorded grant deed for the property). <br /> • Is there an existing single family dwelling or mobile home on a permanent foundation on the proposed homesite parcel? <br /> • If yes,how long has the single family dwelling or mobile home on a permanent foundation been on the property? <br /> ❑ Financing Parcel <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Number of Existing <br /> Assessor Parcel Number(s) Properly Size Parcels Williamson Act Contract <br /> -/'7 280._Z Z /7`� ❑Yes No <br /> Pro ert Address: h L LY CQ/n <br /> F 0EVSVS\Ranning Application Formswlinor Subdivision(Rev.12-0404) Page 3 of 9 <br />