CITYOFVISALIA
DisclosureDevelopmentProject
INCOMPLETEORLATESUBMISSIONOFDISCLOSURESTATEMENTCOULDRESULTIN CONTINUANCEORDELAYOFYOURPROJECT.
AddressorAPN(S):PTNofAPN098-142-057-000andPTNof098—330-006-000 ShortTitleorNaméOfpmposedproject:SequoiaBendEstates,Phase2(akaMaplewood,Phase2) Summarydescriptionoftheproposedproject:SFDSUbdMSion
PROPERTYOWNER(S):
Ifmorethantwoowners,pleaseprovideinformationandsignature(s)onaseparatesheet.
Statement:I/WedeclareunderpenaltyofperjurythatIam/wearethelegalowner(s)ofthepropertyinvolvedinthisapplication.I/WeauthorizethepersonnamedinthisapplicationastheProjectMainContacttoactasmy/ourrepresentativewithCityStaffregardingtheprocessingofthisapplica' 09/03/24
A )4égg , _rDate ProertwerSignature‘h
Je al,PresidentPresidioJJRMaplewood138,LLC
PrintName&Title
Date Propertyi’OwnerSignature
PrintName&Title
THERINVOLVEDPARTIE
Fillinallthatapply.
ItisplannedthatthepropertywillbesoldtoNone
(Write“none”ifpropertyowner(s)donotplantosellproperty.) Developer/Builder
MailingAddress
Phone Fax
mrmIn“, iI._Pagel
t
O S:
Name(print)PreSldlOJJRMaPIEWOOd138,LLC Name(prim)
MailingAddress5607AvenidadeL08RObleS’MailingAddress
Visalia,CA93291
Phone559‘732‘2660 Phone
Listthenamesofallprincipals,partners,and/0rtrusteeswhereanypropertyownerand/ordeveloper/builderarea partnershiportrust.Forcorporationsprovidenamesofofficers,directorsandallstockholdersowningmorethan10%equityinterestincorporation:
None
NOTICE:IftheaboveinformationregardingownershipandinterestinthispropertychangesbeforetheprojectgoesbeforeCityCouncilorFlamingCommission,itistheresponsibilityofsuchpartiestonotifytheCityofVisaliaofthischange(s).
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NAMESOFPRINCIPALS,PARTNERS,AND/ORTRUSTEES: