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APPLICA i 10N - REVISIONS OF APPROVED,'ACTIONS <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - <br /> PA- 1000241 <br /> - <br /> �01�/ <br /> $1,195.bb <br /> : r ��',::. a���„T3l"7>F3E CC'lMl;►��'GEt��.BY�`�'N1���LtCA� 'Pest©R'Ti�1�L1N�'Testy A�PLf CATIQN��'� . a <br /> gr� <br /> {�N � il , Y�3� ask. o ¢�u€ <br /> ? annr "6r <br /> t . <br /> Name: Henry B.and Greta W. Dietz Name: Quartaroli&Associates, Inc. <br /> Contact: John Glick <br /> Address: 33233 S. Koster Road Address: 310 Sun West Place Suite A <br /> Tracy,CA 95304 Manteca, CA 95337 <br /> Phone: Phone: (209)239-4908 or FAX(209)239-6235 <br /> Email: johnglickgquar-taroli.com <br /> x. ]vi PFf�3.�E�'T iE�CP►l����14?, lib s s(�.i:� s. z;' ,.F. <br /> ° S € a1ttkra <br /> u '. ' �� <br /> r.. <br /> —-_ sink,mn< <br /> Revision to: PM-81-175 Map: P.M. 12-37 Condition(s) of Approval <br /> File No: <br /> 1. Description of the proposed Revisions: <br /> Remove condition that this property is not to be a residential building site. <br /> 2. State the facts showing the changes in circumstances which make the subject condition(s) no longer appropriate or necessary. <br /> A single family residence was constructed 5/4/2001 per Building Permit No. BP-0101318 and a second single family <br /> residence was constructed 3/7/2002 per Building Permit No. BP-0200681. <br /> 'O�Q 001Z <br /> DNLY THE t�UU'NER QF„T { PE tTYnflR ASN ►U `H t[ZE� <br /> got” <br /> 1, <br /> IIfIA FILIE AN AIPPLI.CATIO'N. <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 application, or <br /> ❑ Legal agent (attach proof of the owner's 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 foregoingapplication statements are true and correct. <br /> Print Name: Henry B. Dietz Signature: Date: <br /> Print Name: Greta W. Dietz Signature: Date:/0/1/ f� <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:IDEVSVC1Planning Application FormslRevisions of Approved Actions.doc Page 1 of 2 2010-134 Revisions of Approved Actions.doc <br /> (Revised 05-11-09) <br />