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!'A - 0400699 <br /> ,,,��:•,._., I Al�i,7i ifA liF 9f'ai — li iil D!lF ILD L! lLDl lilFlL iF 6s�ai i <br /> RAN :K1A01 IIN nnl INTY nnt„mi INITY nrVFl OPtArNT nr:pART1AFNT I <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Engineer/Surveyor Applicant Information <br /> Name: 13 C'QoArer Name: MONTE K SEIBEL <br /> Address: 3 S. N 99 Address: LAND SURVEYOR <br /> 221 WEST OAK STREET, SUITE B-2 <br /> c_� 95 LODI,CALIFORNIA 95240 <br /> PHONE(209)334-6523 FAX(209)334-2611 <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Descn -tion of the proposed ro.osed l 5 io ect: <br /> Via cr ke +-w C'Vcpkn 4nm On <br /> i <br /> tl <br /> TO BE COMPLETED FOR ALL APPLICATIONS SUBMITTED UNDER THE PROVISIONS OF SECTION-9-610:3(e) <br /> Homesite Provision OF THE DEVELOPMENT TITLE: AREA EXCEPTION IN THE AGRICULTURAL ZONES. <br /> 1 <br /> 1 <br /> Is the proposed piojed fora (check one and provide the Yeglle'sted Inforiiiatloh): R <br /> 1 <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 residence on the proposed homesite parcel? <br /> • If yes, how long has the residence 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 Slze Parcels Williamson Act Contract <br /> 1,59 - in20 -2-5 9 S .F 1El Yes No <br /> Propea Address: <br />