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APPLICATION -- ZONIZ RECLASSIFICATION <br /> {:' � .ter � •n. <br /> M ` SAN JOh(�UIN COUNTI' CO4:1fvIUNITY DEVELOPMENT DEPARTMENT <br /> ` FILE NO: ZR---- -- <br /> Other <br /> Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): None <br /> Describe any on-site or off-site sources of noise or vibration(e.g.freeway noise,heavy equipment,etc.): Traffic noise from <br /> Tokay Colony road, neighbors,and possibly from farm equipment. <br /> Describe any on-site or off-site sources of light of glare(e.g. parkinglot lighting,or reflective materials used): Headlights from traffic. <br /> Describe any on-site or off-site source of odor(e.g.agricultural wastes) None <br /> Describe any displacement of people that will be caused by the project(e.g.numbers of people,housing units): None <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any claim, <br /> action or proceeding against the County arising from the OwnedAgent's project <br /> I further certify, under penalty of perjury,that I am(check one): <br /> Legai property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct, <br /> Print Name: .yrT �["1� .f f Signature: s <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: -__ _ Signature: Date: <br /> F;QEVSVS'-.Pianring Appi,caticr ForriVZONE RECLASSIFICATION Page 5 of 5 <br /> (Rev.G5-11-09) <br />