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APPLICATION - ZONE RECLASSIFICATION <br /> c <br /> b' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> Other <br /> Describe any items/of historical or archaeological interest on-site(e.g.cemeteries or structures): <br /> PV <br /> Describe any on-site or off-site sources of noise or vibration (e.g.freeway noise, heavy equipment,etc. : <br /> Describe any on-site or off-site sources of light of glare e.2-2arking lot lighting, or reflective materials used): <br /> Describe any on-site or off-site source of odor(e.g. agricultural wastes): <br /> Dr�IE <br /> l <br /> Describe any displacement of people that will be caused by the project(e.g. numbers of people,housing units): <br /> PEOPLE I f4ouswls Lw)-r <br /> '� n `AUTHORIZATiONNATURES .`r <br /> SIG <br /> ONL""Y THE.OWNER OF:THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN'APPLICATION ;`m <br /> I,the Owner/Agent agree,to defend, indemnify,and hold harmless the County and its agents, officers and employees from any claim, <br /> action or proceeding against the Owner/Agent's project. <br /> I further certify, under penalty of perjury,that I am (check one): <br /> Legal property owner(owner includes partner,trustee,grantor,or cor/ents <br /> )of the property(s)involved in this <br /> Aapplication, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of tinvolved in this application and have been <br /> authorized to file on their behalf., and that the foregoing application sttrue and correct. <br /> Print Name: V G�J� f Signature: Date: <br /> Print Name: b �.uh1V A- jY/ Signat �e. OK Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FAIDEVSMPlanning Application Forrns%ZONE RECLASSiFICATiON Page 5 of 55 <br /> (Rev.08.27-07� <br /> h <br />