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°R4U.I APPLICo,-. i ON — REVISIONS OF APPROVED ACTIONS (` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: - - 9�/FORS TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: Frank- C. , Helen C. Alegre Name: F,T. . Construction Address: as Trustees Address:Anthony J. Ale re Pres. 2000 Ed ewood Drive P.O. Box 1508 Lodi 95241 Phone: Lodi Ca. 95240 Phone: (209) 334-2112 (209) 368-7664 PROJECT DESCRIPTION Proposal Revision to: Map Condition(s)of Approval File No: 1_ Description of the proposed Revisions: Request additional 20 years from expiration of current permit #OX-89-3. Expiration date is 2/2010. 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. This property was mitigated years ago with 9 acres being dedicated to the wildlife habitat. We are requesting a 20 year extension. This property has been designated as an overflow area by both Calif. Fish & Game as well as Corps. of Engineers to relieve the water presEare on the existing levee system fort is par o e an oaquin River. Altnougn has been in a normal height for the past 5 years it still needs to be in a state of readiness, thus the need for continuing the existing permit to level and remove sand/deb i, This 59 +/- acre area also serves as a wildlife habitat. 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 Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): [v 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 that the foregoing application statements are true and correct. Print Name: Rao C C .}alt-gW_, Signature: /_�� Date: l 09 Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: F\DEVSVC\Planning Application Forms\Revisions of Approved Actions.doc Page 2 of 2 (Revised 10-19-04)