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"f APF ICATION - REVISIONS O" APPROVED ACTIONS SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: - TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: Patricia Knowles Name: Patricia Knowles Address: 13661 Valley Home Road Address: 13661 Valley Home Road Oakdale, CA 95361 Oakdale, CA 95361 Phone: 209-847-2292 Phone: 209-847-2292 PROJECT DESCRIPTION Proposal Revision to: Public Works"Conditions of Approval"- Requirement No. 1 and Recommendations No. 2 and 4 File No: PA-05-829 Minor Subdivision Application of Patricia Knowles- 16411 S. Victory Road, Oakdale 1. Description of the proposed Revisions: a The applicant is requesting relief from the following condtions: Public Works- "Conditions of Approval"-R uirement No. 1 and Recommendation No. 2 b The applicant is proposing a revision to the following condition: Public Works- "Conditions of Approval"-Recommendation No. 4 Thalheim Colony Tract Road shall be a forty 40 foot-wide private road way with an agreement recorded with San Joa uin County, delineating maintenance and repair responsibilities by landowners utilizing the access roadway for ingress and cess and shall be constructed in conformance with the standards for a Fire Apparatus Access Road with a minimum twenty 20 foot-wide unobstructed"All Weather Access Road", from HenryRoad to the east line of Proposed Parcel "2". A standard cul-de-sac bulb or approved alternate tum-around hammerhead shall be provided on Proposed Parcel "3". 2 State the facts showing the changes in circumstances which make the subject conditions no longer appropriate or necessary. a A private road is any roadway or street serving one or more parcels and is not deeded, dedicated or otherwise appropriated to a public agency for use by the general public. b A Fire Apparatus Access Road or an"All Weather Access Road"can be traveled on year round and meets all requirements for Fire Access Codes. 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 Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): X 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 appI' of the property's involved in this applicdandhave, been authorized to file on their behalf, and that the foreg ' g appli tion statem nts are true and correct. Print Name: Patricia Knowles Signature V Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Si nature: Date: