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• r <br /> APPLICATION - REVISIONS OF APPROVED ACTIONS <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT <br /> .;;i:::::::.�::::;::yr>:•;i>:.:%:!c:;j;»;:•:`•:;!:�f•� °jilr;:;x<t•.�o'9i.:n:::;:...i.....�.<s..< .: .: : .:: . .:...:: :: %::. > <br /> TMENT <br /> A...:-.1% <br /> •.Js:;«.;.::.::!..:.;::,:,.,>.::�;!::;i::;:.:!.;;::,;:,.�.�;;!.;. <br /> ::...:;:.:v:<::..::::..:.::.:::::.::. ..z� t !'ak' Y`TH ;fFt:ft*I�ItifY> fR•7'd.:F1t 11G< ik. i?P.t, ATK� <br /> •::x•• 4•'!.. ::n:., h +v;v oX' ..cz .4. ti�iL:::!%c2::%:%:i:%:::::?!<•>:•::>:;>:;:•>::::>�:; <br /> OW <br /> +%i�i•:i•• ! :i5,�:,S,o->:•.•..!'•::;y !.t;< ,.,3.. ticaztt::[nft>r>crla. <br /> .,.::;::::.>.,;.:;.:.....:.:...::...:.....::.::i%: i� 'k{ .rArf�iV. r�::•::•;>:::%•.,•.. f.....t,k.,. :..:.:::•:: ::::::•::.:r:::•::.::........:... ..: Q <br /> :: «:5::1,> DU Name• d u`YI 6GG /� a 2T� / G <br /> Name: ? r n <br /> Address: <br /> 4 N f/A G'l/11 BI✓ Address: 323 lit G��1 J <br /> Phone: <br /> Phone: Zo <br /> :...:nv::.;v:::::.:.:::.::::::.�::i:.ii:: <br /> :Y <br /> {y.. <br /> �'• �+� I..y.�:I�J.V:::i:•::r::;;•,'.'.:;:;..:.:::.'..::•::.%:::>'Tiso:':::%�::�:2% :'%;.;:<:::;:?:;:;.;::`::::`:::::'i: `:::?::::` <br /> �'1::.:. ,.:!.::::i:iiSSi11:L:::;i':i>;nSi,+%4�:i:;•;!riJ1:::>.?S'':4:);;;?:vi:A!:?;:. ... <br /> .... ..:::::•..n.::.......:::.:..::i,;;4:�Sii:C•i::iii:ii}ii::�'C Ji:.: <br /> Revision to: 36 Ma Condition/,of A roval <br /> File No: IV3 <br /> -36 <br /> 1. Description of proposed Revisions: <br /> D 5 8 0 excelce/ iK a <br /> a UIV,4S 9 3G <br /> 2. State the facts showing the than es In circumstances which make the subject conditions no longer aro riate ornecess <br /> CrI a /!/G a S -3� QS <br /> � Uh q� D ✓�/Yl�� S �'! asp i'' <br /> EX girls o wi'// ho h ale 110, or <br /> o4z*t <br /> rJI rn o e �xe� f <br /> San a i <br /> wl` <br /> : <br /> AUTHOR ..TTO SIGN�ITU:RES <br /> ONL�fTHE OWNER OF'i'ME.PROPS'RT. -ANAIITHOR1 1�►'AGENTNAY FIDE AN .APPLICATION. <br /> I,the Owner/Agent agree,to defend, indemntfy,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 /> 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 d correct <br /> i <br /> Print Name: l/ / U — Signature: ----'•-' -" <br /> /J �/C .,....-........ 6ate: <br /> Print Namc: <br /> Print Name: Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: Signature: Date: <br /> -2- <br />