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APPLICATION - REVISIONS OF APPROVED ACTIONS <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...... ................ . <br /> L �m <br /> No: A": <br /> ............. ..................... <br /> . ......... ...... <br /> A* <br /> Name: Name: <br /> Address: Address: C, <br /> Phone: Phone: <br /> ........... ............. <br /> .... ................................. .. ...... <br /> .... ............. .... .. <br /> DE <br /> SCMP <br /> .......... <br /> ........ .......... ..... . .... ....... <br /> .......................................... <br /> ........... <br /> .................. ........ <br /> ............. <br /> ............. ............ <br /> Revision tc Map ConditionJs of Approval p-S <br /> File No: CA <br /> 1 Description of proposed Revisions- <br /> 2. State the facts showing the changes in circumstances which make the subject condition(s) no longer appropriate or <br /> necessary. <br /> L\ A-A-) s- <br /> WUT 14W) <br /> .............. <br /> ........ .. <br /> ......... <br /> 0 ......... <br /> 7W -OF H <br /> W X OWNER P. OF <br /> 7 1 <br /> SIGNATURE I certify under penalty of perjury that I am (check one): <br /> Legal prop"owner(owner Includes partner,trustor, or corporate officeo of the property(s) Involved in <br /> this application, or <br /> 0 Legal agent (attach pro-of of the owner's consent to the application of the property's involved In this <br /> application and have been authorized to file on their behalf., and <br /> that the foregoing application statements are true and correct <br /> S;gnalute: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> -2- <br />