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DocuSign Envelope ID:5B415D83-CB95-4765-9988-C8845BOBE60F APPLICATION - REVISIONS OF APPROVED ACTIONS SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT [Updated Application Submittal-August 2022] FILE NUMBER: - - vL�F;Q�� TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: Amanjit Sandhu Name: Amanjit Sandhu Address: 31995 S. Chrisman Road Address: 31995 S. Chrisman Road Tracy, CA 95304 Tracy, CA 95304 Phone: (209)834-6242 Phone: (209)834-6242 PROJECT DESCRIPTION Proposal Revision to: Machado Large Lot Map Map Tract 3635 Condition(s)of Approval #4-Special Fees File No: Original File No. PA-0600161 1. Description of the proposed Revisions: Applicant is proposing to revise Condition#4-Special Fees-Agricultural Mitigation Fee,which currently requires payment of the rmintyworlp agromilhiral mutogatonn fpp"[plrunr to apprnysl of thp Final Map(-q)"Applicant is requesting that thog condition be revised to reflect payment of the Countywide agricultural mitigation fee"prior to grading permit or building permit issuance." 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. Applicant is requesting this revision to conform with County Development Title Chapter 9-1080.3(f),which provides,in relevant part that, payment of the agricultural mitigation in lieu fee"shall occur at the time of Grading Permit or Building Permit issuance." 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): ❑X 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 thp—t-t[w4oveg6ing application statements are true and correct. L7;9jedy S461 ( 8/26/2022 Print Name: Amanjit Sandhu Signatur d y,. Date: Print Name: Sukhjit Sandhu SignaturDate: 8/26/2022 Print Name: Karnali Singh SandhuSignature: s14Fa Date: 8/26/2022 Ranbir Kaur Sandhu Print Name: Signature: Date: 8/26/2022 Print Name: Pinderjit Sandhu Signature: r1.Vt . 6a�A 3 EF Date: 8/26/2022 CD23E01320EA4AF... F:\DEVSVC\Planning Application Forms\Revisions of Approved Actions.doc Page 2 of 2 (Revised 05-11-09)