Laserfiche WebLink
°A4UW" APPLICATION SITE APPROVAL <br /> v !y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> Other <br /> I <br /> Describe any items of historical or archaeological interest on-site(e.g. cemeteries or structures): None <br /> Describe any on-site or off-site sources of noise or vibration (e.g. freeway noise, heavy equipment, etc.): <br /> Offsite: active railroad to the East <br /> Onsite: minor truck and front-loader traffic and indoor expeller arra <br /> Describe any on-site or off-site sources of light of glare(e.g. parkinglot lighting, or reflective materials used): None <br /> Describe any on-site or off-site source of odor(e.g. agricultural wastes): None <br /> Describe any displacement of people that will be caused by the ro'ect e. . numbers of people, housing units): 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 /> N <br /> X 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 owners 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. ` I <br /> Print Name: Timothy Grunsky Signature: Date: 5 V <br /> Print Name: Signature: Date: <br /> Print Name: Signature. Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FMEVSVC1PIanrning Application FormslSiW Approval.(Revised 00-10-08) Page 7 of 9 <br /> i <br />