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APPLICATION - REVISIONS OF APPROVED ACTIONS 1 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: - �- TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: Phillips Farms, LLC Name: Michael Hakeem Address: 14647 Ray Road Address: 3414 Brookside Road, Suite 100 Lodi, CA 95242 Stockton, CA 95219 Phone: 209-368-7484 Phone: 209-474-2800 PROJECT DESCRIPTION Proposal Revision to: Use Permit Map Condition(s)of Approval File No: Other: Large-scale Accessory 1. Description of the proposed Revisions: Winery event approval As a follow up to the Board of Supervisors recent approval of the revised Winer Ordinance Phillips Farms, LLC is requesting the opportunity to host Large-scale Winery events with the approved revised Winery Ordinance 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. The Michael David Winery is requesting the opportunity to host Large-scale Winery The Winery has the location and the size and the parking capacity to allow larger groups of persons (See Attached Site Plan) 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): XLegal 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 foregging applicWyAtatements are true and correct. Print Name: Mike Phillips Signature: Date: /,7L �Y F Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Si nature: Date: FIDEVSMPlanning Application Forms\Revisions of Approved Aclions.doc Paget oft (Revised 05-11-09)