Laserfiche WebLink
°'a I" APPLICATION — ZONE RECLASSIFICATION <br /> '1 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> 9 � <br /> Other <br /> Describe any items of historical or archaeological interest on-she e. .cemeteries or structures): <br /> None <br /> Describe any on-site or off-she sources of noise or vibration e. .freeway noise heavy equipment,etc. : <br /> Interstate 5 heavy equipment from quarry excavation <br /> Describe any on-site or off-site sources of light of glare e. . parking lot lighting,or reflective materials used): <br /> Traffic lights from Interstate 5, equipment sales yard lighting <br /> Describe any on-site or off-site source of odor e. .agricultural wastes): <br /> None <br /> Describe any displacement of people that will be caused by the project e. . numbers of people,housing units): <br /> None <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I. the OwnebAgent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim. <br /> action or proceeding against the County arising from 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 corporate officer)of the pmperty(s)involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the owners 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: Robert 'own, Signature: Date: <br /> Print Name: Signature: Date: as <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FnDEVSVSkRanNrg AppWaaon Fwme1ZONE RECLASSIFICATION Page 5 of 5 <br /> (Rev.05.11-M <br />