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'COMMUNHYLIDEVELOPMENT DEPAPRTMENT <br /> SAN,.�JOAQUIN <br /> -� OVAL <br /> —COUNTY S[TE AP PR <br /> FILE NUMBER: .? Jk 74Q0 <br /> Owner Information Applicant Information <br /> Name: t= 7 <br /> 11, F,cx t:�, k Tzr W Name: S ,e_� - <br /> Mailing Address: t- (&__C> Mailing Address: \rck-,d�p <br /> Phone: -Z C) 0 Phone: <br /> Email: c k44i_zv _L*, <br /> Email: 4t4-1-D %TNt k L <br /> Applicant's.Representative Information Design Professional Information <br /> Name: k 0 5-z Name: 0\ 4. <br /> Mailing Address: Mailing Address: (. <br /> Phone: 2-rft LJ4C-T Phone: 8 49 $ - �7- Z 7' _Z_ <br /> Email: ail: ct <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> tL k4 <br /> e�!, iF N S <br /> Nr--�%."J L <br /> f (k C_k L\ _,,J ST q-- L v�skk- <br /> , C C_ <br /> L 0 Q, <br /> Will the project include more than one(1)phase?(maximum of 2 phases)Yes[I Noft <br /> Length of time (maximum of 5 years): 6)As Ac-_: <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 /> (q C)—k g 1:3, <br /> orn C, <br /> 7 0 1 Lk G -35 6,c-1 2 C=v- <br /> 01 C\- 5'70 - �3 0 6� CD 'D <br /> Page 1 of 6 <br /> Updated 0812812020 <br />