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APPLICATION - ZONA RECLASSIFICATION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT" n, � -.....•� �� FILE NO; ZR- Describe an items of historical or archaeolo icai interest on-site (e.2.cemeteries or structures): None Describe an on-site or off-site sources of noise or vibration (e.g.freeway noise, heavZ equipment, etc. : Highway 88 nois]rq-oise related to existingvineyards. I Describe an on-site or off-site sources of light of glare e. arkin lot lighting, or reflective materials used): Vehicle li hts Hi hwa 88 traffic. Describe any on-site-or off-site source of odor(e.Q. agricultural wastes): None Describe an displacement of people that will be caused by the project(e.g. numbers of p22ple, housing units): Two housing units will be removed. _ AUTHORIZATION SfGNQTURES -`' ON[Y TFIE'OWNER OF THE PROPERTY OR`AN AUTHORIZED AGEN7�MAY FILE AN APPLICATION. Fi, FtheOwner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, action or proceeding against 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: ✓?�/Wa BS S „Ar :� : Signature: Date: 1 $f Print Name: Signature: `-7� Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: F:1DPVSMPlanning Application FormsIZONE RECLASSIFICATION Page 5 of 5 (Rev.12-07-06)