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f. APPLICATION - REVISIONS OF APPROVED ACTIONS SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: The Reed Leasing Group Name: George Reed, Inc. Address: 928 12th Street, Suite 700 Address: 140 Empire Avenue Modesto, CA 95353 Modesto, CA 95354 Phone: (209)521-9771 Phone: (209)523-0734 PROJECT DESCRIPTION Proposal Revision to: Merritt Ranch Map Condition(s)of Approval: 1.a. and 1.n. of OX-99-2 File No: 1. Description of the proposed Revisions: Modify the lifespan of the permit as outlined in Conditions 1.a and 1.n. Please see attached documents for the proposed revisions, presented in a strikeout/underlined insertion format. 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. Final reclamation on Phase 2 could not commence as soon as originally anticipated. This modification will provide the extra time needed to accumulate reclamation material and start final reclamation tasks beginning next year(2015). 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: Jeffrey Welch Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Si nature: Date: F:\DEVSVC\Planning Application Forms\Revisions of Approved Actions.doc Page 2 of 2 (Revised 05-11-09)