Laserfiche WebLink
�uF� <br /> APPLICATION - ZONE RECLASSIFICATION <br /> Wow <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO. ZR- <br /> Other <br /> Describe anv items of historical or archaeological interest on-site(e.g.cemeteries or structures): None <br /> Describe any on-site or off-site sources of noise or vibration(e.. .freeway noise,heavy enuioment,etc.): The—P—roperty is <br /> near Highway 4 and Escalon Bellota Road. . <br /> Describe any on-site or off-site sources of light of glare e.g.oarking lot lighting,or reflective materials used): On site <br /> lighting (low glare fixtures) <br /> Describe any on-site or off-site source of cdor(e.g.a ricultural wastes): None <br /> r Describe any displacement of peonle that will be caused by the oro'ect(e.g.numbers of oeoole,housing units): None <br /> M <br /> v AUTHORIZATION SIGNATURES <br /> ( ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AWL <br /> Q <br /> I,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim, <br /> 4 ' <br /> action or proceeding against the Owner/Agent's project. <br /> i <br /> I further certify,under penalty of perjury,that I am(check one): <br /> 1, ® Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved in this application, <br /> or <br /> 11 <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: r, ignature: Date: <br /> E� Print Name: Signature: Date: <br /> ! Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FMEVSVS\PIanNrgApplioation Forms\ZONE RECLASSIFICATION Page 5 of 5 <br /> (Rev.6-02-00.) <br />