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Qou�N APPLICATION — ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c P FILE NO: ZR- <br /> Other <br /> Describe any items of historical or archaeological interest on-site(e.g.cemeteries or structures): <br /> NONE <br /> Describe any on-site or off-site sources of noise or vibration(e.g.freeway noise,heavy equipment,etc. : <br /> INTERSTATE 580 IS APPROXIMATELY 1,500' SOUTHWEST OF THE SITE <br /> Describe an on-site or off-site sources of light of glare(e.g.parkinglot lighting,or reflective materials used): <br /> PARKING LOTS, SEMI-TRUCKS, NON-COMMERCIAL VEHICLES, SIGNAGE, AND STRIPING ARE PROPOSED FOR THE SITE <br /> Describe any on-site or off-site source of odor e. .agricultural wastes): <br /> NONE <br /> f <br /> Describe any displacement of people that will be caused by the project(e.g. 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 Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim, i. <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 corporate officer)of the property(s)involved in this application, <br /> or <br /> Legal agent(attach proof of the owner's 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 /> LPrint Name: �1��D :k_f Signature: Date:A0^2_ 3,0 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> j <br /> I <br /> FaOEVSVSNPianningApplication Forms1ZONE RECLASSIFICATION Page 5 of 5 <br /> (Rev.6-02-04) <br />