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APPLICATION - ZONE RECLASSIFICATION <br /> ,`�P....... <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: ZR- <br /> 'v. <br /> i <br /> Other <br /> Describe any items of historical or archaeological interest on-site (e.g. cemeteries or structures): <br /> NONE <br /> Describe any on-site or off-site sources of noise or vibration (e.g. freewav noise, heavy equipment, etc.): <br /> NONE <br /> Describe any on-site or off-site sources of light of glare (e.g. parkinglot lighting, or reflective materials used): <br /> NONE <br /> Describe any on-site or off-site source of odor (e.g. agricultural wastes): <br /> NONE <br /> Describe any displacement of people that will be caused by the project(e.g. numbers of people, housing units): <br /> NONE <br /> � AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I <br /> I, the Owner/Agent agree, to defend, indemnify; and hold harmless the County and its agents, officers and employees from any claim, <br /> 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 this <br /> application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf., and that the foregoing application statements are true and correct. <br /> I <br /> Print Name: R&'R SCHATZ PROPERT4F ,INCSignature: Date: <br /> Print Name: Rnn,_��Y SCHAT7Signature:;/ .� Date: ' <br /> Print Name: RA ZTTA �T7 Signature: Pli lr4A=04, Date: <br /> Print Name: Signature: Date: <br /> IPrint Name: Signature: Date: <br /> F',DEVSVS`,Planning Applicatior,Forms`ZONE RECLASSIFICATION Page 5 of 5 <br /> ,c.... — „ na) <br />