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a�lr APPLICATION — ZONr RECLASSIFICATION <br /> ,�P• moi..e` . , <br /> T' y <br /> v SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 7 FILE NO: ZR- <br /> �d i � jn"A1 a, yr d1'N d Y 'a <br /> i, '!s ,.r r?k.�, .$�m`.xziY.. <br /> Describe any:items of historical or archaeological interest oh-site(e.g.cemeteries or structures i .. <br /> Describe any on-site or off-site sources of noise or vibration e. .freeway noise heavy a ui ment,etc: :. <br /> None known - Highway !')o tinnfiec <br /> Describe any on-site or off-site sources of light of glare(e.g. parking lot lighting,or reflective materials used): <br /> None known <br /> Describe any on-site or off-site source of odor(e.g.agricultural wastes): <br /> None known <br /> Describe any displacement o1 people that will be caused by the ro'ect e. . numbers of people,housing units): <br /> None knnwn <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <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 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 /> ER 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 /> Print Name: W Danner Olmstead Signature: Date: $/16/2007 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Dale: <br /> Print Name: Signature: Dale: <br /> F.\DEVSVSXPlanning Application FonnsIZONE RECLASSIFICATION Page 5 of 5 <br /> (Rev.12-07-06) <br />