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>.........<`D , APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: IA <br /> FORS <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: 46L/4 RODR/Ge1EZ– /LLF,KMO Name: <br /> Address: 70 :�/ ON 57. /ZEZ Address: <br /> GA9L T C.9 <br /> Phone: (20Cf 7448 -69547 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposedproject: M/,VO .�svB n11/1.:51a / 7w .SU.r3D/!l/06 f` 250 —f/G26 <br /> , WRCEG. V9RC6L CAVE Tv 004/7/9/AV 107 AclefC. Ph/zcE/, rcVO 70 <br /> c0 /n/ /23 gc2Es . <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) Property Size Parcels Williamson Act Contract <br /> 025- 080-O/ 250 WC466 OAU": I dYes ❑ No <br /> LEmperty Address: 9855 W H/4NLV/9 /Z GOD/ GA 952¢2 <br /> F:\DEVSVS\Planning Application Fonns\Minor Subdivision(Rev.12-09-04) Page 3 of 9 <br />