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07/17/2013 14 -55 FAX It 002/002 <br /> APPLICATION - ZONE RECLASSIFICATIOM <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> L FILE NO: ZR- <br /> Otho <br /> Describe any Remo of historical or archaeological interest on-alta(e.g.cemeteries or structures): <br /> None <br /> Describe any on-slte or off-alto sources of noise or vibration(e.g.freeway noise heavy equipment,etc.): <br /> Interstate 5 Is adjacent to thla project. Agricultural equipment send Roedlsde traffic noise from bordering roads. <br /> Doocribe any on-olte or of-olts sources of II ht of glare e&parking lot HahlinA,or reflective materials used <br /> Intaratete 5 is adjacent to this Project, <br /> Describe env an-site or off-alto source of odor(e.g.agricultural wastes): <br /> Agricultural chemlcals and fertllizors. <br /> Dogerlbe any dls i©eament of people that will ha caused by the projact(e.g. numbers of people, hauain units): <br /> NIA <br /> AUTNORE-ATlOM 91GNATUI2S <br /> OrLV T Ot"JF'ER OF Ilia 01PERTV'On-AN AUTHOMEW AeRNT rMV PILE AN APPLICATION. <br /> I,the Owner/Agent agree,to defend, Indemnify,and hold harmless the County and Its agents,officare and employees from any claim, <br /> action or proceeding against the County arising from the OwneNAgent'a project. <br /> I further cortify,under penalty of perjury,that I am(check one): <br /> ® Legal property,owner(owner Includes partner,trustee,grantor,air corporate officer)of the property(s)involved in this <br /> spplUtion,or <br /> ❑ Legal agent(attach proof of the ownoee consent to the application of the property's we ed in thio application and have been <br /> authorized to file on thelr behalf.,and that the foregoing application statements tr and cc e <br /> Print Nemo: Slgneturm: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Data: <br /> F:%DEVSVS%Plennfnp ApolkAtlon Fc=9 20NE RECLASSIFICATION Page 5 of 5 <br /> (Rev_05-1 1-09) <br />