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APPLICATION - REVISIONS OF APPROVED ACTIONS gyp,.....•,• C N <}i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT cq•• :�•,�PJ FILE NUMBER: - - ��FOR� TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: MOUNTAIN HOUSE DEVELOPERS, LLC Name: SAME as owner Address: 230 S. STERLING DRIVE, SUITE 246 Address: MOUNTAIN HOUSE CA 95391 Phone: (209)689-0220 Phone: PROJECT DESCRIPTION Proposal Revision to: Neighborhood I Tentative Map Condition(s)of Approval File No: PA 0600327 1. Description of the proposed Revisions: Eliminate condition requiring occupancy by"active-adult"aged 55 and over 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. Market conditions have changed since original approval. Need to adapt to current market demand for diverse neighborhoods with common amenities 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: DAVID SARGENT Signature: —;---- Date:August 19,2021 Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: ROEVSVOPlanning Application Forms\Revisions of Approved Actions.doc Page 2 of 2 (Revised 05-11-09)