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°p4u`" APPLICATION - REVISIONS OF APPROVED ACTIONS SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT/ •'�,6�IFO.;N`P•• FILE NUMBER: - � Q 7 TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: MOUNTAIN HOUSE DEVELOPERS, LLC Name: SAME AS OWNER Address: 230 SOUTH STERLING DRIVE, SUITE 246 Address: MOUNTAIN HOUSE, CA 95391 Phone: (209)689-0201 Phone: PROJECT DESCRIPTION Proposal Revision to: NEIGHBORHOOD-J TENTATIVE MAPS Condition(s)of Approval File Nos: PA 0600327 1. Description of the proposed Revisions MODIFY AGE-RESTRICTED CONDITION; MODIFY PLEP REQUIREMENT; MODIFY SECOND UNIT DWELLING CONDITIONS 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. FINAL MAPS HAVE-BEEN MODIFIED SLIGHTLY FROM THE APPROVED TENTATIVE MAPS AND DEEMED TO SUBSTANTIALLY COMPLY WITH THE APPROVED MAP. CONDITION MODIFICATIONS WILL ENSURE CONSISTENCY BETWEEN THE FINAL MAP AND APPROVED TENTATIVE MAP. 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): ❑ 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 f re Aoin application statements are true and correct. [ Print Name: DAVID SARGENT Signature: -- Date:July 25,2018 Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: I--nature: Date: F:\DEVSVOPlanning Application Forms\Revisions of Approved Acdons.doc Page 2 of 2 (Revised 05-11-09)