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APPLICATION -- LOT LIE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER:, rm <br /> 1F•�S� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information EngineerlApplicant Information ,.... <br /> Name: .5 p e Q�°'t?7 S Name:" MONTE K. SEIBEL <br /> LAND SURVEYOR <br /> Address: 7s$� Address: <br /> U <br /> Z �� 221 WEST OAK STREET,SITE B-2 <br /> AQ LODI,CALIFORNIA 95240 <br /> Phone: Z 5 5 Phone: PHONE(209)334-6523 FAX(209)334-2611 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Existing Project Size Williamson Act Contract <br /> Parcels <br /> Yes No <br /> Property Address: <br /> Existing Land Uses <br /> i On-Site Uses(Include Ag Crops): O <br /> Uses to the North: Aiq <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> G <br /> 4 F:IAEVSvcwlanning ApplWIGn Fonnsl Page 3 of 7 <br /> 1 Lot Line Adjustment.doc.(ReWtsed 8-404) <br /> fff � <br /> ti <br />