The undersigned gwnertd of the following described property hereby request consideration for a Zone Change.

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1 ZONE CHANGE (Public Law 21-82:4 & Executive Order Short Form) To: Director, Department of Land Management c/o Divlslon of Land Planning Government of Guam P.O. Box 2950 Agana, Guam The undersigned gwnertd of the following described property hereby request consideration for a Zone Change. 1. Information on Applicant: Name of Applicant: fdb/ kome #7ze677fC Mailing ~ddress:/?!!./z3~js/&~ G&F 4c/~ Telephone NO.: Business _&el&-.&5sr muuki 79f/-~Pber~b~-.Db@ 2. Property Location. ~escri~iion, and Ownership: [NOTE: The maximvn lot area must be (2) jvcreg IQZ && Subdivision Name: ~ u n i c i ~ a l i t ~ : ~. ~ Block Tract Lot Area: Acre Sq. Meters Sq. cot I,%# + / I / Registered Owner: G~~~~ &&Jwsz Certificate of Title No.: Recorded Document ~o.:&df?g 1 3. Current and Proposed Land Use: Current Use: current zone: 4 Propose Use: ropose zone: Juslfication: Attach a typed, brief and concise justification (letter format) explaining your intentions and purpose of the zone change request justifying public necessity. public convenience and general welfare in accordance with 21 GCA. Chapter 61 (Zoning Law). Section 61630; Public Law 21-82, Section 4 and the Depanment of Land Management Rules. I * 5. Supporting Information. The following shall accompany this application: a. A map, drawn to scale. showing existing zoning within 1000 feet radius, and all parcels and their uses within 750 feet radius from the subject lot's boundaries. The map shall also contained: - (1 Lot number of every parcel(s); (2) Identify by name and use all existing activities on all parcel(s1 through a legendlcode reference; (3; Aii adjacent iaclusive and exclusive easements and roads to property, their widths. and condition of surfaces: (4) The nearest location of all public utilities to the subject lot; (5) All natural or topographic pe~uliarities. b. The most recent Department of Land Management recorded property map. Page 1 of 2

2 To: Director, Department of Land Management Re: ZOlJE CHANGE (P.L :4 & E.O Short Form) Page 2 of 2, 6. Supporting lnformadon (continued): c. For R-1 zone change teqsest: A proposed property map showing how many lots are to be subdivided, d. For R-2 zone change request: Preliminary design drawings showing density, proposed use, and location of property, e. Additional information as required by the Director. 6. Fees: In accordance with 21 GCA, Chapter 61 (Zoning Law), and (c), and Public Law , Section Required signjtures: All legal owners of designated parcel shall sign form with namefs) typed or handwritten, signed and dated:,z2;f2b CERTIFICATION: IMlE hereby certify that all information contained in this application and supplements b true and correct. IN also u in this application shall void the entire submissi Owner Date Owner Date *H*P' Representative (if any) / Date THIS FORM SHALL NOT BE MAILED. APPLICANTiREPRESENTATlVE SHALL SUBMIT IN PERSON, BY APPOINTMENT ONLY. TO THE PLANNING DIVISION, DEPARTMENT OF LAND MANAGEMENT.

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4 FOR IERRRIRY , DEPAIIMUIT OF RECORDATION 8fflCE Of?!I RfCORWI AT THE DEPARTMENT OF LAND MANAGEMENT INSTRUMENT AW~IBER This instrument was WID lsftwlmlor DEED OF GIFT KNOW ALL MEN BY THESE PRESENTS: THAT I, MARIA ELENA PEREZ-MENDIOLA, of legd age, United States Citizen, and resident of the "Perxitory of Guam, hereinafter called the "GRANTOR", for and in consideration of the love and affection that I bear unto my brother, JOAQUIN B. PEREZ, of legal age, United States citizen, and resident of the Territory of Guam, hereinafter called the "GRANTEE", do by these presents, hereby give, grant, transfer and convey unto the said "GRANTEE", his heirs, assigns and successors forever, any a. all of my rights, title, and interest in and to that certain piece or parcel of land, more particularly described md designated the following: LOT #3449-1, MUNICIPALITY OF SINAJANA, CERTIFICATE NO. 325-FY87, DOCUMENT NO Together with all and singular the tenements, hereditaments, and appurtenances thereunto belonging or in anywise appertaining, issues, and profits thereof, and all the estate, right, title, interest, claim and demand, whatsoever, of myself, of, in, and to the premises, with the appurtenances, and every part thereof. IN WITNESS WHEREOF, d t e undersigned have hereunto set their hands this 45% day of I The undersigned Grantee has read the foregoing as to power and water and hereby concur to the same. i. d*- IN 8. PEREZ, ~ r@x Grantor w V

5 ACKNOWLEDGEMENT OF GRANTOR TERRITORY OF GUAM ) ( =* CITY OF AGANA 1 On this &ay of M d, 19% before me, a Notary Public in and for the Temtory of Guam, personally appeared before me, Maria Elena Perez-Mendiola, known to me and to me known to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that he/she executed the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written. TERRITORY OF GUAM ) CITY OF AGANA ( ss. ) ACKNOWLEDGEMENT OF GRANTEE On this =+day of /Cl&, 19& before me, a Notary Public in and for the Temtory of Guam, personally appeared before me, Joaquin B. Perez, known to me and to me known to be the person whose name is subscribed. to the foregoing instrument, and acknowledged to me that he/she exrc~ted the same. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written. cg=-je&. NOTARY PUBLIC PATRICIA C. SANTOS NCTARY FilZLIC In artd (or :i?e Territory of Guam 1.h~ Corzti:jssi,nr~ Expires: May 06, 1992 DEED OF GIR Maria Elena Perez-Mendiola

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