|
APPLICATION - REVISIONS OF APPROVED ACTIONS
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> 1A ^ . °'i4.«✓J .
<br /> .81 kAi .- - �:Ii�i: R/'i�o�4IY:�/�K�f'.rii�VEsr ��i.�.rri:.7f.M,1.�e.4..!t�..t�+.r...�.f�,:.:{,�k;�i{,{.�:.:�..t;....;�r•?.rivr,i:::A:�':'..�::;r'L,..-..rh-`�,r..3i.r{::'}h$-ti r'r��b$`"r4i..Y}..Y�:rC:..:?.�.'S.
<br /> ..
<br /> •`kfi``{
<br /> 2 3
<br /> .y?:.:Y:' ......:r.:rr:r...v-:;:r:r:.,:.::-�vr:.:-r,.r.�:::•,....::r r:��. �:�:.:
<br /> :2'r.' :rvl fi:,. C x.. .?. h. :..0+.' %` t•;;r::::r.;.; •'o-", a::t
<br /> fr,.r, Gs:x,?.,4:vrk.. SSriY` ,a•�. 'r �.eafY::v::;-5,::i-:typ::: '.t .:'t:5:'{ `:y
<br /> :r<•:::rvrr f : v{.+.t-'ir, •. '. �l,frlSr :.�.iwW Wim.` x�Ya..S.......ar+: ,.,}'£:?g;'c#??-"E.3:t`?S'Y3,+Y`r .,v, ;}'tier
<br /> r'r^h's��'� n�? �,�c :G%' ::?15.'�nT:... r•.::-vr.,.,.., ry£\..v � '
<br /> r::::::..�:,....».6:..:.;.:{#...!•.`-.:.. ;:.t . x.}...:. { f:'•m} ��E }:,.:..,:x:wnr':):;.v...":;.. Y •.r. .,. .,. ai..,. 'r?a
<br /> :�:b°),v.-::/.�: -.:,}..,
<br /> .............:::.:.:::.:.......£�rsisi'ad ..3.�;:.:,-..-..:.,::<>,.:.��:-:r::.�k,:..:,.;�.,.:._:�.:�:.:�:-:::<.::::::::::i.�:::...��. llr:al�.frtfotltnafta>T •N.f
<br /> Name: �! ✓Ax.3 C) ES/C ) r'��OLj'i
<br /> Address U• O z�JI Address• / Z4�7 6 —
<br /> Phone:
<br /> —Phone PhonS77
<br /> Ei
<br /> EN
<br /> E,
<br /> .:....::n ',2..3•.tiv;?-+':.?-::'i.;::?«+:rk ..:.:.v ".Y: t:��... �:.)a..h'"'.-•. ::I.?v• i}}.:
<br /> ...i':it.: it:�
<br /> ` ..:t;.}.:,.f:r{:vr::;-,::+'�};.�::. ,;:.;�:j •r ;air:? .1..
<br /> ;�-...........l.vr..?':.} .......... � ..�. .. :.. ,i:.: :- r :rri }}i::r: .•i
<br /> .}.........is .:�::.yv�.::.vi:rv:''+ir?�'y'rl Y.•'+yr:.:�.'r'r.Y.:.
<br /> . .:.:. ...:v:.. .r.+.....,..............:............t'tt::.:.:............,...r.,...�il.r?::n.......1 .?.':3..::
<br /> i Revision to: Ma Conditionls of A royal
<br /> File No22
<br /> f
<br /> i
<br /> i 1. Description of proposed Revisions:
<br /> 7
<br /> 2. State the facts showing the than es in circumstances which make the subject conditions no longer aro riate or necessary,
<br />. i
<br /> A 7--/ ,4
<br /> o�
<br /> 11
<br /> r5
<br /> EEE
<br /> ...7.
<br /> :.>
<br /> AUTHO.RIZATiON SIGNATURES ..x?�!i
<br /> IjONLYTHE LIWNER OF THE`PROPERTY QR.AN.'AUTHOfUE�AGENT MAY.FiLE::AN APPLICgTiQN`
<br /> 1,the Owner/Agent agree,to defend, indemnify,and hold harmless the County and its agents,officers and-
<br /> employees from any claim,action or proceeding against the Owner/Agent's project.
<br /> .f ,
<br /> �. I,further, certify under penalty of perjury that 1 am (check one):
<br /> ❑ Legal property owner(owner includes partner,trustee, trustor,or corporate officer)of the
<br /> property(s) involved in this application,or
<br /> Legal agent(attach proof of the owner's consent to the application of the property's
<br /> 3 involved in this application and have been authorized to file on their behalf.,and that the
<br /> foregoing application statements are true and correct,
<br /> Print Name: + /5�2Signature: Date: /Z ZGj•�7
<br /> •� __p„ .Print Name:: - T „••,Signature: Date:
<br /> Print Name: Signature: Date:
<br /> Print Name: Signature: Date:
<br /> it
<br /> Print Name: Signature: Date:
<br /> it
<br /> ' I
<br /> EI '
<br /> is
<br /> -z-
<br /> t
<br />
|