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APPLICATION - REVISIONS OF APPROVED ACTIONS <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .............. <br /> WjW "ST . <br /> � <br /> E a <br /> x <br /> Atoll <br /> Name: Woodbridge Community Church Dillon & Murphy <br /> Address: P.O. Box N Addros.:P.O. Box 2180 <br /> Woodbridge, CA 95258 Lodi, CA 95241 <br /> Phone: (209) 369-6908 Phone: (209) 334-6613 <br /> AA, <br /> R... <br /> PPMEC7 ESIZR MON4, <br /> N <br /> W.- <br /> -X—z,:� "N <br /> Revision to: Map Condiffords of Approval X <br /> File No: LIP-97-9 <br /> 1 Desch pdonor proposed Revisions: Department of Public Works condition 2.e. should <br /> remove the requirement for a deposit equivalent to the estimated construction <br /> costs and require a typical deferment. <br /> 2. State the facts showing the changes In circumstances which make the subject condition(s)no longer appropriate or necessary. <br /> If a deposit ecival to the costs is reauired there is no financial <br /> deferment. These improvements will not be required for years. <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER.OFTHE PROPERTY OR.AM AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1. the Owner/Agent agree, to defend, indemnity, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agents project <br /> 1, further, certify under penalty of perjury that I 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 /> 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 /> PrintName: ftV SAp4m,',= f9tt\.411-5 Signature! 16 le4lq- 9 <br /> Print Name., <br /> (� <br /> Print Name: Signature: Date: <br /> Print Name: Signanu.a. Date: iI <br /> Print Name: Signature: Date: II <br /> -2- <br />