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`a APPLICATION — REVISIONS OF APPROVED ACTIONS SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION Owner Information Applicant Information Name: Aggregates Inc. Name: Munn &Perkins Address: PO Box 3191 Address: PO Box 4760 ' Modesto,CA 95353-3191. Modesto,CA 95352-4760 Phone: (209)521-9771 Phone: (209)524-3197 PROJECT DESCRIPTION Proposal Revision to: QX-89-2 Map Conditions)of Approval File No: QX-89-2 1. Description of the proposed Revisions: "See attached sheet" 2. State the facts showing the changes in circumstances which make the subject condition(s)no longer appropriate or necessary. Population growth within the San Joaquin Valley has increased the number of vehicles traveling on roadways. Local and State Agencies have been compelled to study and address this increased traffic in the interest of public safety and convenience. One conclusion is to conduct a portion of construction work on heavily traveled roadways during off-peak traffic hours,which usually occur during the nighttime. AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and,employees from any claim, action or proceeding against the Owner/Agent's project. I,further, certify under penalty of perjury that I am (check one): ❑ Legal property owner(owner includes partner,trustee, grantor, or corporate officer)of the property(s) involved in this application,or X1 Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been authorized to file on their behalf., and that the foregoing application statements are true and correct. Print Name: Jeff Welch Signature: Date: 0-1 {,�5I2ao8 Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: FOEVSMPlanning Application ForrnslRevisions of Approved Actions.doc Page 2 of 2 (Revised 16-19-04)