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APPLICATION - REVISIONS OF APPROVED ACTIONS <br /> �N K <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - <br /> PA- 1-200123 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ACE Tomato Company, Inc. Name: Quartaroli&Associates, Inc. <br /> Contact: John Glick <br /> Address: 2771 French Camp Road Address: 310 Sun West Place Suite A <br /> Manteca, CA 95336 Manteca,CA 95337 <br /> Phone: (209)982-5691 Phone: (209)239-4908 or FAX(209)239-6235 <br /> Email: johnglick@quartaroli.com <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Revision to: P.M.8232 Map P.M.11-3 Condition(s)of Approval <br /> File No: <br /> 1. Description of the proposed Revisions' <br /> Remove Environmental Health Condition placed by the Planning Commission which states: "There shall be individual water <br /> systems if and when the parcels are under separate ownership" <br /> �I <br /> 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. <br /> Individual domestic wells have been constructed as shown on the attached exhibit. <br /> These parcels are improved with agricultural processing uses.There are no residential structures. <br /> C AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the County arising from the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> ® Legal property owner(owner includes partner, trustee, grantor, or corporate officer)of the property(s) involved in <br /> this applicatior, or <br /> ❑ Legal agent(attach proof of the owners consent to the application of the property's involved in this application and <br /> have been authorized to file on their behalf., and that the foreg2ing foregoingapplication statements are true and correct. <br /> Print Name: "rAamt►b ft'M_' L�19d Signatur ^ m Date: b Q l hzi <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F 0EvSVCIPIaw,g Applimon Formalftevisions of Approved Actions.doc Page 1 of 1 2012-131 Revisions of Approved Actions.doc <br /> (Revised 05-11-09) <br />