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Od 09 12 07 Dip EO'l-lis HLdmn <br /> 925803-c-311 p 4 <br /> APPLICATION REVISIONS OF APPROVED ACTIONS <br /> SAN JOAQUIN COUNTY COMMUNITYDEVELOPMENT DEPARTMENT <br /> FILE NUM131:13. 1-2 0 0 196 <br /> To'BE COMPLETED BY THE APPLICANT PPJOR TO FILING THE APPLICATION <br /> CAMOrInform;Ption ApplICanj InjorMall()n <br /> ss: 11 <br /> f Addro-,-,: <br /> Phone: 671) 5- <br /> Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Revision to:130S resolution R-83-142 Map-P -a3-12 CDndlbori(s)or Approval Iii&I <br /> Filp No- <br /> 1. qgr&!:iptInn of the p-rarioncd Revinlonn- <br /> Rev-15-on in rJUS Fes0iU110n R-83-142 in fe.Clard$to Condition of Approval#cl for Pa"clu-1 Map No.PM-83-12- <br /> Ccridrtirn tO"Provide o 39 wide reserve fora future strectk-1)west line of Parcel B." <br /> r. Elm"Thf-fMr'T'%Ahnvvinq_1he rhnn_qe-n in circumstances which make the SUNO�Cll concfitior4sy no longer appropriate or <br /> I he COMITIOn was n4--Pqrjt;11,Pd due to -42future.,1rPi:,,j in Asm-%se <br /> division of their property a3neer, msement left by property cwno0r.on the west side parc0s due to sub- <br /> - o&Map Book 835-32(PaUc 63 or the archived resolution-copy attached). <br /> HoWevcr.in the roccrit Assessne-,parcel mfil).WP.,-,t Ride mih-rlivmion i.,;nn lono#Px there. <br /> Since this 30'oiSomorij was nevor d0d1C2'0CI;rQ-xrded and is no Icnqer aervinq west side propo.1y owner,it noaj,.to I>c rorriov" <br /> ,rom,!n0P,0rC0l Map PM-83-12. <br /> Due to this c-asernprit, the front Portion of parcel bvcornCs to()narrow IQ be Used in futuilbo 0.1%,tilupt ri writ <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION- <br /> 1, the awner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> r rcminy cini, zir-licin or proceeding against the County arising from Ifie Owner/Agent's project. <br /> J, Wrther, QertlltY Unaer penalty Or perjury that I am (check one) <br /> Legal PTOPAwtY owner(owner includes partner, trustee, qrontQr,or corporate officor)of t.hq proporty(s) involved in <br /> this application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's iriivolvc-d in this application and <br /> 1'.civo b out horizM to filo on their behalf., and that 14 foregoing appli titin statements are true and correct. <br /> Pri rif Name:-'10L),t24_L))W <br /> Date, <br /> Print Name; Signaturu: <br /> Prlrt Name, Mire: <br /> F:'LFvS',,CNi%nnr4n0 Ar.rAlWbon I Cny'-slilevisions of ApprovedAcLoo'sdw Page 2 of 2 <br />