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APPLICATION - ZONE RECLASSIFICATION ,gP�.coc �X SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT rY. FILE NO: ZR- Other Describe an items of historical or archaeolo ical interest on-site e. .cemeteries or structures N/A Describe an on-site or off-site sources of noise or vibration e. . freewa noise,heavy equipment, etc. : Hi hwa noise. Truck circulation on site. Describe an on-site or off-site sources of li ht of late e. . arkin lot li htin or reflective materials used Hi hwa traffic Ii hts. On site security lighting. Describe any on-site or off-site source of odor(e.g.agricultural wastes): N/A Describe an dis lacement of Deople that will be caused bv the proiect(e.g. numbers of eo Is, housin units): N/A AUTHORIZATION SIGMAT,URES 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 foregoing application statements are true and correct. Signature: 6 Date:l ob-a l j Print Name: RV6A tayM .Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Page F:\OEVSVS\Planning Application Forms�ZONE RECLASSIFICATION Pa g (Rev.05.11-09)