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SAN J OA Q U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> --..._._ COUNTY USE PERMIT <br /> ;re't�tt>e. yrr%vs hire, <br /> FILE NUMBER: <br /> Owner Information Applicant Information <br /> Name: �I ( ] !l Name: <br /> Mailing Address: E{ G'f Mailing Address: L <br /> fi& C, - �/t <br /> Phone: — 9 R Phone:' � <br /> Email: Ske-I i 1 vtr ; a; I Loi Email: r / <br /> Ah✓1 ^ <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> Will the project include more than one(1)phase?Yes r] No <br /> Number of phases: Length of time: <br /> Note:For questions regarding phasing, contact the Planning Division at 209-468-3121. <br /> Property Information <br /> Assessor Parcel Number Property Address Property Williamson Act Contract(Y or N) <br /> Size <br /> CSS - l U('0 <br /> Page 1 of 6 <br /> Updated 04/29/2019 <br />