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APPLICATION - ZO1 . � RECLASSIFICATION �� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT � FILE NO : ZR- C�• .. P Atl � iyRt' Other Describe any items of historical or archaeological interest on-site e . . cemeteries or structures) : 'N Describe any on-site or off-site sources of noise or vibration (e .g . freeway noise , heavy equipment, etc . : V . +�, l c_ l.�C N v sic. �,�.. �� t �t �a � �.s Com. C-sss .-t S c�.v.��- 1 �,►, Describe any on-site or off-site sources of light of glare (e . g . parkinglot lighting , or reflective materials used) : S k -cam L l Q< rt Cr '� a 'a, U LS < � L c.'L a Describe any on-site or off-site source of odor (e . g . agricultural wastes) : N � Describe any displacement of people that will be caused by the project (e . g . numbers of people , housing units) & N 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) : ❑ 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 application of the property' s involved in this application and have been authorized to file on their behalf. , and that the foregoing application statements are true and correct . Print Name : Dp+� �� '�''� � Signature : Date : Print Name : Signature : Date : Print Name : Signature : Date : Print Name : Signature : Date : Print Name : Signature : Date : F: IDEVSVS\Planning Application Forms\ZONE RECLASSIFICATION Page 5 of 5 (Rev . 05A 1 -09)