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u' APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> dt.iFo' � <br /> other ... . . <br /> Describe any items of historical or archaeological interest on-she e. .cemeteries or structures): <br /> None <br /> Describe arry on-site or off-site sources of noise or vibration(e.g,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 us <br /> Traffic lights from Interstate .5, equipment sales yard lighting <br /> Describe any on-site or off-sde 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 OwnerlAgent 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 property(s)involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the ownefs 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 Brown,Jr. Signatur✓/ Dat <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:10EVSVS1Planning Application Fams\ZDNE RECLASSIFICATION Page 5 of 5 <br /> (Rev.06-11-03) <br />