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ACTIONS <br /> gppLICATION - REVISIONS OV: APPROVED NT DEPARTMENT <br /> SAN JOAQUIN COUNTY COMMUN <br /> ;tc'rwsrra- ibf` a;"��.gyT 18AFP�.it�.��[CT4%E�<iHEbARP I�AiION �x,s'9%�Ftti � cd <br /> ,�;��Tae�conteL ,�; w �rmtwrnatton.- . <br /> #j�t Same as Owner <br /> unit Church <br /> Name; Bear Creek Corton Aedroa: <br /> 11171 N. Lower sacrament Rd. <br /> Lodi, CA 95242 <br /> Phone: <br /> Phone 209 951 9229s jsF� ai> <br /> 'ti.%xM11.i%,:t3�ns <br /> a <br /> #1a <br /> a e 059-030-16 19 <br /> carWitionfsot rm'sl <br /> Rwbbn to:UP-95-9 <br /> Fine IM. <br /> a,� of Re-Wiermt roval- shall be <br /> +. "A roved use.n This a <br /> Revise condition la to read: Phases five <br /> to establish a church eazs, ascility descriwbed below:daY(klarch�11'nz005) <br /> over eig t Y <br /> n era eha <br /> in ,cu wM1l<M1 make eie hub ect conditlo • mbn eta detawn,dasa <br /> 2. hate Me hcta almwl <br /> to start Phase II Development and is requesting <br /> Applicant is preparing <br /> this extention to assure continued compliance with their use Permit- <br /> AUT HOR17ATION <br /> ermit.AUTHOR17ATION SIGNATURES <br /> ONLY THE OWNER OF THE.PROpERTY OR AN AUTHORIZED AGENT MAY FILE AS APPLICATION. <br /> ents,officers and <br /> I,the Owner/Agent agree,to defend,Indemnify,and hold hold[the OeSs the Gunnt's y andPro1c1t ag <br /> employees from any claim,action ur roceedln9 a9 <br /> I,further, cars fy under penalty of pedurY that 1 am(check one): <br /> ❑ Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the <br /> property(s)Involved In this application,or <br /> ❑ Legal agent(attach proof of the ownets consent to the application of the property's <br /> involved in this application and have been authorized to file on their behalf.,and that the <br /> foregoing application statements are a and correct <br /> i I <br /> Print Naim' Nilliam Cummins Slgmtuf . -- -^" <br /> Gate: <br /> Print Name: <br /> Print Name: <br /> Signature: V Dare: <br /> ' <br /> Print Name: signature: Date: <br /> Print Name: stgnatunt: Date: <br /> Describe an db laeement of ole that will be camedh Ne ro ect ,. .number or PeoW,houaine until, I <br /> Non <br />