Form Date: 05.05.26 Page 1 of 2
CITY OF VISALIA
Disclosure Development Project
INC
OMPLETE OR LATE SUBMISSION OF DISCLOSURE STATEMENT COULD RESULT IN CONTINUANCE OR DELAY OF YOUR PROJECT.
SITE:
Address or APN(s): 077-050-019
Short Title or Name of proposed project:
Summary description of the proposed project:
PROPERTY OWNER(S):
If more than two owners, please provide information and signature(s) on a separate sheet.
Name (print) Na me (print)
Mailing Address Mailing Address
Phone Phone
Statement: I/We declare under penalty of perjury that I am/we are the legal owner(s) of the property involved in this application. I/We authorize the person named in this application as the Project Main Contact to act as my/our representative with City Staff regarding the processing of this application.
Date Property Owner Signature
Print Name & Title
Date Property Owner Signature
Print Name & Title
OTHER INVOLVED PARTIES:
Fill in all that apply.
It is planned that the property will be sold to
(Write “none” if property owner(s) do not plan to sell property.) Developer/Builder
Mailing Address
Phone Fax
Phase 2 of the Belissa Subdivision Tract 5587 containing 108 single family residential homes.
Oak Place Phase 2 (Belissa Tract 5587)
MRP HTMB, LLC
2505 Alluvial Avenue
Clovis, CA 93611
559.432.8181
Ed Hadley, Authorized Signatory
July 7, 2026
Form Date: 05.05.26 Page 2 of 2
Li
st the names of all principals, partners, and/or trustees where any property owner and/or developer/builder are a partnership or trust. For corporations provide names of officers, directors and all stockholders owning more than 10% equity interest in corporation:
NO
TICE: If the above information regarding ownership and interest in this property changes before the project goes before City Council or Planning Commission, it is the responsibility of such parties to notify the City of Visalia of this change(s).
NAMES OF PRINCIPALS, PARTNERS, AND/OR TRUSTEES: