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APPLICATION - REVISIONS OF APPROVED ACTIONS SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT `•+s � FILE NUMBER: - ®fid TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: Progressive Community Church Name: WMB Architects, Doug Davis Address: 2820 South 'B' Street Address: 5757 Pacific Ave., Suite 226 Stockton, CA 95206 Stockton, CA 95207 Phone: (209) 546-0399 Pastor Glenn Shields Phone: (209) 507-8224 PROJECT DESCRIPTION Proposal Revision to: PA-1800106 (UP) Map Condition(s)of Approval File No: 1. Description of the proposed Revisions: 1)Remove proposed Building B4(12,000 s.f.Christian Education Activity Building)from Use Permit. 2)Convert existing Building B2 to classroom space for Christian Education. 3)Demolish existing Building B3(garage). 4.)Construct a 4,000 s.f.addition(A1)to Building B2 housing an assembly space for Christian Education Activity. Depending on funding,all work may be completed as one project,or these improvements may be phased with Item 2 above occurring in Phase 1 and Items 3&4 occurring in Phase 2(within 5 years) ] 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. Owner is requesting change to approved use permit due to limited funds and the cost to construct the originally proposed 12,000 sq ft Christian Education Activity Building. AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, action or proceeding against the County arising from the Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): Legal property owner (owner includes partner, trustee, grantor, or corporate officer)of the property(s) involved in this application, or ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been authorized to file on their behalf., and that the foregoing application statements are true and correct. Print Name: 6 I '�f� ' 1 I Signature: A Date: Print Name: Signature: Date:_ � Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: F:\DEVSVCtPlanning Application Forms\Revisions of Approved Actions.doc Page 2 of 2 (Revised 05-11-09)