CITYOFVISALIA
DisclosureDevelopmentProjeet
INCOMPLETEORLATESUBMISSIONOFDISCLOSURESTATEMENTCOULDRESULTIN CONTINUANCEORDELAYOFYOURPROJECT.
SITE:
AddressorAPN(s):Parcel2ofPLA24-026
ShortTitleorNameofproposedproject:BlankenshipTractPh1
Summarydescriptionoftheproposedproject:123IOtSingleFamilySubdivisionlocatedattheSECOf CaldwellandSantaFe
PROPERTYOWNER(S):
Ifmorethantwoowners,pleaseprovideinformationandsignature(s)onaseparatesheet.
Name(print)SJVHorizontalLLC Name(print)
MailingAddress5607AvenidadeIasRobles,MailingAddress
Visalia,California,93291
Phone(559)732—2660 Phone
Statement:I/WedeclareunderpenaltyofperjurythatIam/wearethelegalowner(s)ofthepropertyinvolvedinthis application.I/WeauthorizethepersonnamedinthisapplicationastheProjectMainContacttoactasmy/our representativewithCityStaffregardingtheprocessingofthisapplicati Minn[gig9 Aagk
Date Owr'ierSénature
PrintName&Title
Date PropertyOwnerSignature
PrintName&Title
OTHERINVOLVEDPARTIES rwwt i a'ivilhhWWW a“
' -‘.r;= in?”.—.-t?. =.=.
F111inallthatapply.
Itisplannedthatthepropertywillbesoldto AONé/
(Write“none”il‘propertyowner(s)donotplantosellproperty.) Developer/Builder
MailingAddress
Phone Fax
Listthenamesofallprincipals,partners,and/ortrusteesWhereanypropertyownerand/ordeveloper/builderarea partnership0rtrust.Forcorporationsprovidenamesofofficers,directorsandallstockholdersowningmorethan10% equityinterestincorporation:
SJVHomes,LLCistheSoleMemberofSJVHorizontal,LLC.
NOTICE:Iftheaboveinformationregardingownershipandinterestinthispropertychangesbeforetheprojectgoes beforeCityCouncilorFlamingCommission,itistheresponsibilityofsuchpartiestonotifytheCityofVisaliaofthis change(s).
FormDate8W)? Page3ofl
NAMESOFPRINCIPALS.PARTNERS.AND/ORTRUSTEES: