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1 <br /> AQ !h APPLICATIONj SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Cr•., �P <br /> .FILE NUMBER:-SA- 77 <br /> . <br /> 4C]FpRa <br /> arkr.f �ma�W� t � <br /> �r r <br /> ����u.r.�..��`d.CJr.s :i+-d u;{,* _ � .r i' l i ':�-< t s�'r.-kfpR>z- ra T•�,�t�a� - <br /> Describe an .items of historical or archaeological interest on-site(e.g. cemeteries.or structures): <br /> None <br /> Describe any on-site or off-site sources of noise or vibration le.q.V66way n6ise,he'ay <br /> K equipment,etc. <br /> Some freeway noise from I=5., some farm equipment noise <br /> Describe any on-site or off-site sources of light of glare (e,g. parkinglot li htin ,or reflective materials used): <br /> none <br /> Describe any on-site-or off-site source of odor(e.Q.agricultural wastes): <br /> See dor ma.n.a 1 (attached) <br /> Describe any displacement of people that will be caused by the pr2ject(e.g. numbers of peoele,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 <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 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 /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name. Donald W. Oliver Signature 4 Date: �eq <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: pate; <br /> FADEVSVCTianning Application FormsZite Approval.(Revised 1-3-03) Page 5 of 9 <br />