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'oPq�sa 2: APPLICATION - USE PERMIT `•' - SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT :,rFD N P FILE NUMBER: UP- Other Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): None. Describe any on-site or off-site sources of noise or vibration e. .freeway noise, heavy equipment,etc. : The facility will operate within the County's noise ordinance. Describe any on-site or off-site sources of light of glare e. . parking lot lighting,or reflective materials used): None. Describe any on-site or off-site source of odor e. . agricultural wastes): The facility will operate within the parameters of the Odor Impact Management Plan as approved by CalRecycle. Describe any displacement of people that will be caused by the project e. . numbers of people,housin q units): None AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, action or proceeding against the County arising from the Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): �egal property owner(owner includes partner, trustee,trustor, or corporate officer)of the property(s) involved in this application, or ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been authorized to file on their be J and that t oregoing application statements are true and correct. 71 6�� z2�� Print Name: err► 6,v . �}/�(y7rsli Signature: / Date: _ _/ Print Name: Signature Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: F:MEVSVC\Planning Application Forms\Use Permit.(Revised 02-03-10) Page 5 of 9