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Jul 13-2015 1:32PM Industrial Solution Svc 909.931.1960 page 6 <br /> APPLICATION - SITE APPROVAL <br /> E SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> '= FILE NO: SA- <br /> `l —-- <br /> ` I` i�ther d <br /> Describe any items of historical or archaeological interest on-site(e.g. cemeteries or structures): <br /> None Known <br /> Describe any on-site or off-site sources of noise or vibration(e.g.freeway noise, heavy equipment, etc.): <br /> On-site rail spur line and adjacent S.T.&E, Railroad tracks <br /> Describe any on-site or off-site sources of light or glare(e.g.parking lot lighting, or reflective materials used): <br /> Existing on-site lighting <br /> Descrbe any on-site or off-site source of odor(e g. agricultural wastes). <br /> ' None <br /> Describe any displacement of people that will be caused by the project(e.g. numbers of people, housing units): <br /> None <br /> I <br /> s AUTHORI;ATION SIGNATURES <br /> F ONLY THE OWNER OF 7##t~ PROPERTY 414 PROPERTY AGEftT MAY FILE AN APPLICATIOlI <br /> I I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> empicyees from any claim, 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 /> `Y� ® Legal property owner (owner includes partner, trustee, grantor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> t application and have been authorized to file on their b and that t e foregoing application <br /> statements are true and correct. i <br /> s`I <br /> Evergreen Assets, LLC <br /> Phnt Name Allen Armstrong Signature: Date: <br /> {i <br /> lei Print Name: Signature Date: <br /> 1.; <br /> Print Name: Signature:nature: Date: <br /> �I <br /> Print Name: Signature: Date. <br /> 6i. Print Name: Signature: Date: <br /> 11 <br /> y. <br /> t� <br /> f <br /> I`tII, <br /> F:VEVSVS,Plannirg Application^om kSite Approval(Revised 02-03-10) Page 4 of 4 2015-121 Site Approval <br /> a <br />