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APPLICATION -APPEAL OF PLANNING COMMISSION ACTION <br /> ?, SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: VJ <br /> •a <br /> •ifi;o�� <br /> TO BE COMPLETED BY THE APPUCANT PRIOR TO FILING THE APPUCATION <br /> APPLICANT INFORMATION <br /> Name: <br /> Address: D <br />� Sets <br /> Phone: 20 ti' <br /> BASIS FOR APPEAL <br /> i tae thorough in your statement,because only the findings and facts you raise in your appeal statement will be included in the staff's report <br /> j to the Board of Supervisors. Atlaeh•additional sheets if necess <br /> i <br /> Action being a Baled: �+ ' S b <br /> Date of Planning Commission action: <br /> State the basis of the appeal. List any findings of fact made by the staff which you feel were wrong and your reasons: <br /> ICALYA <br /> d YCS <br /> G 1 <br /> IOWA <br /> t r r�li <br /> List any conditions and or findings being appealed and give reasons why you think it should be modified or removed: <br /> rc -� <br /> SIGNATURE <br /> Date: ©2 I <br /> Si nature b <br /> STAFF USE ONLY <br /> Remarks: Date al filed: b <br /> Fee: Receipt No: 62p2al Accepted b <br /> F:DEVSVC%PIanningApplication FormslAppeal of- <br /> Planning Commission Acdon.doe(Revised 3-1-04) <br />