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SAN J OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> COUNTY SITE APPROVAL <br /> r,,. Greatness Greatness crows Herr. <br /> PA2 i o 0 1 <br /> , <br /> FILE NUMBER: <br /> Owner Information Applicant Information <br /> Name:Ron Prins Name:Velociter Wireless, Inc. <br /> Mailing Address:9863 Van Allen Rd Mailing Address:PO Box 6 <br /> Stockton, CA 995215 Escalon, CA 95320 <br /> Phone:209-480-9409 Phone:209-838-1221 "109 <br /> Email: Email:kanthony@velociter.net <br /> Applicant's Representative Information Design Professional Information <br /> Name: Name: <br /> Mailing Address: Mailing Address: <br /> Phone: Phone: <br /> Email: Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> Seft-supporting Steel Lattice Radio Tower- 100'-used to deliver high speed broadband internet for this location and neighboring <br /> households. Antennas are or will be mounted to the tower. <br /> Will the project include more than one(1)phase? (maximum of 2 phases)Yes ❑ No❑■ <br /> Length of time(maximum of 5 years): <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 /> 205-160-06 9863 Van Allen Rd, Stockton, CA 95215 97.93 acr Y <br /> Page 1 of 6 <br /> Updated 08/2812020 <br />