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APPLICATION - REVISIONS OF APPROVED ACTIONS <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Tt}' Ct�NfpLLT r�E�BY THE APPLICANT PRIG Td FILING THE APPLICATION <br /> rvna�:lnCortt►atjoa..... >A licant information <br /> Name: Aggregates , Inc. Name. Aqqregates , inc„ <br /> Address: P. 0. Box 3i91 Address: P. 0. Box 3191 <br /> Modesto CA 95353 Modesto CA 95353 <br /> Phone: 209' 521-9771 1 Phone: 20 521-9771 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Revision to: GX-91-1 Map Condition/s of Approval <br /> FileNo: GX-91-1 Phase I Condition of Approval #5 n <br /> 1. Descri tion of proposed Revisions: <br /> Request for revision would allow finished graded contours ; which when compared <br /> to approved finished elevation contours appears to be approximately 12"+1- <br /> lower at the north end. <br /> 2. State the facts showing the changes in circumstances which make the subject conditions no longer aro riate or necessary. <br /> SEE ATTACHED <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 <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> f� 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 /> Print Name: John Shoden Signature: Date: 1/30/97 <br /> _ <br /> Print Name: President Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> -2- <br />