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�a"= FAL APPLICATION — REVISIONS OF APPROVED ACTIONS <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> V` <br /> FILE NUMBER: - - - 11 ib <br /> •`N <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: McManis Family Vineyards Inc. Name: Owner <br /> Address: 18700 E. River Rd. Address: <br /> Ripon, CA 95366 <br /> Phone: 209-599-1186 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Revision to: UP-98-0001 Map Condition(s)of Approval <br /> File No: <br /> 1. Description of the proposed Revisions: <br /> Refer to_UP.-98-0001 • <br /> Refer to Revisions of Approved Actions expiring 03 15 17• <br /> Requesting a 12) year extension. <br /> 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. <br /> See ( 1 • ) above. <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the County arising from the Owner/Agent's project. <br /> I,further, certify under penalty of perjury that I am (check one): <br /> ® Legal property owner(owner includes partner,trustee,grantor, or corporate officer)of the property(s)involved in <br /> this application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and <br /> have been authorized to file on their behalf., aia""e-torggoing <br /> application statements are true and correct <br /> Print Name: Or, Nl k&Y ,A;5 Signature. �*�'�I �� Date: 22 /7 <br /> Print Name, Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Si nature: Date: <br /> RMEVSVOPianning Appliwfion FormswR kions ofAppaved Actiom.dm Paget of <br /> (RevMd 05-11-09) <br />