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APPLICATION - APPEAL OF STAFF ACTION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Appellant Information <br /> Name: / w �C /7Z�E oa2c—_ <br /> Address: <br /> Phone: O _ - �(— <br /> BASIS FOR APPEAL <br /> Be thorough In your statement,because only the findings and facts you raise in your appeal statement will be Included In the <br /> stairs report to the Planning Commission. Attach additional sheets if necessary. <br /> - <br /> File number: S 0c) 6, 5-- Action being appealed: rJ •�l 601-1- <br /> Date <br /> CCSDate of Staff action: 12 - - 00 <br /> State the basis of the appeal. List any findings or fact made by the staff which you feel were wrong and your reasons: <br /> .r <br /> r- <br /> c -w <br /> /7 d, O <br /> �Geoi- <br /> List any conditions)and or findings being appealed and give reasons why you think it should be modified or removed: <br /> SIGNATURE <br /> Signature:_ Date: _N-OO <br /> STAFF USE ONLY <br /> Remarks: Date appeal filed: 2- <br /> Receipt <br /> Receipt No:S /�J S Z Appeal accepted by: <br /> -2- <br />