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oui <br /> 2 - � APPLICATION - ZONE RECLASSIFICATION <br /> N: < <br /> �' '• SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> q0.,,: 4,:�P FILE NO: MS- <br /> Other <br /> Describe any items of historical or archaeological interest on-site (e.g.cemeteries or structures): No <br /> Describe any on-site or off-site sources of noise or vibration (e.g.freeway noise, heavy equipment,etc. : <br /> Agricultural equipment and roadside traffic noise from bordering roads. <br /> Describe any on-site or off-site sources of light of glare(e.g.parking lot lighting, or reflective materials used): <br /> N/A <br /> Describe any on-site or off-site source of odor(e.g. agricultural wastes): <br /> Chemicalspraying and fertilizing. <br /> Describe any displacement of people that will be caused by the project e. .numbers of people, housing units): <br /> N/A <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, <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 <br /> application,or <br /> ❑ Legal agent(attach pr f of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to fi on eir behalf. an hat a foregoing application statements are true and correct. <br /> Print Name: Signature: Date: 9' 30- , <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F1DEVSVS\PIanning Application Fon sVONE RECLASSIFICATION <br /> (Rev.4-254)5) Page 5 of 5 <br />