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SAN JOAQUIN COUNTY PLANNING DIVISION <br /> 1810 EAST HAZELTON AVENUE <br /> STOCKTON, CALIFORNIA 95205 <br /> TELEPHONE : ( 209 ) 944-3722 <br /> (To Be Filled Out By Applicant ) <br /> Owner : Mr. Jerry Kirsten_ Ptal Applicant:_Baumbach & Piazza, Inc. <br /> Address : 431 S. Ham Ln Address :_ 323 blest Elm Street <br /> City : Lodi City:_LQdi <br /> State/Zip : CA 95240 State/Zip: CA__ 95240 <br /> Phone: 368-6618 Phone :-368-6618 <br /> Permit Information (Minor Subdivision or Major Subdivision Application <br /> previously approved ) <br /> Permit Number : SU-86-5 Approved By : P.C. <br /> Date Approved: April 17, 1986 <br /> Request <br /> 1 . Indicate what condition( s ) are proposed to be modified: <br /> None <br /> 2 . State the facts showing the change in circumstances which make <br /> the subject condition( s ) of the map no longer appropriate or <br /> necessary. <br /> Attached <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner , trustee, trustor, <br /> or corporate officer ) , <br /> LJ Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that e foregoing is true and correct . <br /> - <br /> er J. M z (Date) <br /> en S /fie <br /> 1 - .1Co <br /> ank s Jr, <br /> —0(G -�� (7/8 6 ) <br /> rald irsten <br /> Map e dment _a_ <br />