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(044 Itiolls APPLICATION ZONE RECLASSIFICATION
<br /> � ; �
<br /> SAN JOAQUIN UOUNTY UUMMUNI ' I• Y C7 �; VG� f
<br /> � UI' MloN1' DEPARTIVIG: N 'I
<br /> yta .eria.rrrrtxnorur+w�xvaw+�tax�►satxu •s %a 11104444 lots" IMI Mao
<br /> .. . . .
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<br /> ftbo MileOthor
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<br /> ti'�x��sa►ua'Mkt'xJfaatYccwYuur•!.mttta`.'xiltYtY>bz.'uq W trYxnppup�tyrl
<br /> 00scribe anti IteLyLs of hlstorlool or orclla���glo�iCal
<br /> Nona
<br /> Describe ny Vin” Ito or ofVsiln s urcos .a ( noi� vibraUon (o .9 , frogwa noigoIIMal, h u nr , ala ,
<br /> Traffic nalso from I I hw�g a rmin aq0l men ( 00asonal)
<br /> �dscrit>Ia n r nn � ito pr atf:asitn apurc�.�of If lit„vf Tarp AIAI Q � ,arkino lot, I (ghtI60_,or reflect n7ntoriats usoy): _ w
<br /> I14adII « � . .� _ . _
<br /> l� ad ht from street traffic , ruturo on sitd li h� tIn�wlll be directed to rental on oita,
<br /> M4 voirla Ilk IMIP06
<br /> as
<br /> Uc� scribo rn r on "situ or off�;3lto source of odor (u ,cf icRural wasmass 0
<br /> None
<br /> MITIl)vacril� o
<br /> any di la�coment of spooploviot will by caused by t i ro pot p , itirnbersorp . l h sl
<br /> Nona
<br /> '.'mroti�r.."ms;x�t'�t,;ar:."�wza+�raa;<.xaucdt�w�t�'�tu urc+:ax
<br /> AUTHORIZATION $ 110NATURIES
<br /> m a�mxrun �mxw.roacr�v.nK,woCweat+ �
<br /> UNN;Y 'f'NI , OWN 17 C� 1= 'I'1 I I UI� ERTY OR AN AUTN ORIZED A() NT MAY FILE AN APP4. L� GA't"tpN .•
<br /> I , the Qwoor/Acdont udroo , to dafurld , Indemnify , and hold . harli7toss tho County and i(. s Agonts , offic(irs and gmpl.oyaes fron) aq olralm ,
<br /> r!actlon or procooding agralnst the County arising from the owner/Agent's project ,
<br /> I furlhor cortify, undor p (•molly of porjury, that I ram (check ono ) :
<br /> Legal properly ownor (ownor Includes prarinor, trustee , grantor, or c;omorfato officor) of tho proporly( s ) Involved In this
<br /> upplIcatlon , or
<br /> ( .., ) t.e, cfal ogont ( attach proof of t1io owner's c(aiisent to tho appiicralion of tho property's Involvod In Ihls FapplIoNallon land hove boon
<br /> OLIthoriozod to filo on tholr bolunif. , and that the forogbincy (appliontlon stutomonts caro truo and correct ,
<br /> small
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<br /> as” nalur(a : else
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<br /> .� ,� . . ..rW �. ,.:. ._..... . rail(, : I� 12 vs .
<br /> Y " � l l
<br /> rint Nalrlp : ..._....� .. .. _ .. . ... M. . ..... .....w .. ..._... ..... SIyn �llure : .. . ,._..._. w. .. .. ....... ,. w. . . Da to :
<br /> Pdril Worms . .......,.._......_ .. . ..� ...............,..._ . . ,.,_..... . _. ...., Sic� nralure : . .. . ........ ... . . ..,._. ,
<br /> PrintN <amo : ,.._.._.._.,_ .. . ,. ..,. ...........__. ..._... ... ..._ ...... ...... .... ... ... .. .__._ .w. Signature : , . ....,_ .. ,.,. ...�..., . . . . ., M. . Dato
<br /> I''rinl Nfame : ... .......� _.Al,.. �. .. .....,..._. . .� , ...�_._..__.. �. _....._... ....._... Sictnaluro : . ... _....,.,. ..,._..... ...._.. ,.,... .w .._ . ,
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<br /> I :�01MUVS1Pliusining Application lbnnsVONt' 14"(11 AS81FICATION I � cige ;i of ti
<br /> ( laity . 0 !') • 11
<br /> . 09 )
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