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APPLICATION - ZONE RECLASSIFICATION <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />FILE NO: ZR- <br /> <br /> <br />Other <br />Describe any items of historical or archaeological interest on-site (e.g. cemeteries or structures): <br />no existing structures <br />Describe any on-site or off-site sources of noise or vibration (e.g. freeway noise, heavy equipment, etc.): <br />close to Highway 99 <br />Describe any on-site or off-site sources of light of glare (e.g. parking lot lighting, or reflective materials used): <br />Potential pakrng lot lighting <br />Describe any on-site or off-site source of odor (e.g. agricultural wastes): <br />NA <br />Describe any displacement of people that will be caused by the project (e.g. numbers of people, housing units): <br />None <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 County arising from 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 />El 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: Thomas Bowe/ WMB Architects Signature: AUG Date: 6-17-19 <br />Print Name: Signature: Date: <br />Print Name: Signature: Date: <br />Print Name: Signature: Date: <br />Print Name: Signature: Date: <br />F:\DEVSVS\Planning Application Forms2ONE RECLASSIFICATION Page 5 of 5 <br />(Rev. 05-11-09)