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ouiry SAN J OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> COUNTY SUBDIVISION <br /> - <br /> °�+crFos+N` Greatness brows Here. <br /> FILE NUMBER: <br /> PRE-APPLICATION: Q <br /> Owner Information Applicant Information <br /> Name: Name: <br /> Mailing Address: Mailing Address: <br /> Phone: Phone: <br /> Email: Email: <br /> Applicant's Representative Information Design Professional Information <br /> Name: Name: <br /> Mailing Address: Mailing Address: <br /> Phone: Phone: <br /> Email: Email: <br /> Project Details <br /> (Attach additional sheets as necessary) <br /> Type of Subdivision check only ❑ Minor Subdivision For Minor Subdivisions, is a Parcel Map <br /> yp ( y Waiver Proposed? <br /> one,separate applications required or Yes: E] No: ❑ <br /> for each): If yes,please submit the Parcel Map <br /> ❑Major Subdivision Waiver application with this application. <br /> Project Description: <br /> Does the proposed subdivision include a Homesite Parcel or <br /> a Homesite Parcel for Financing Purposes Only?(See El Homesite Parcel <br /> Section 9-610.3 of the Development Title for Homesite <br /> Regulations) ❑ Homesite Parcel for Financing Purposes Only <br /> Related Planning Application(PA)number(s): <br /> Is this application tied to <br /> another discretionary Yes: ❑ No: ❑ <br /> application? <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 019-110-140 Undeveloped 10.07 Yes: ❑ No: 0 <br /> 019-110-160 Undeveloped 14.25 Yes: ❑ No: Q <br /> 019-110-170 Undeveloped 15.04 Yes: ❑ No' <br /> Page 1 of 4 <br /> 08/13!2021 <br />