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APPLICATION - GENERAL PLAN AMENDMENT <br /> SAN JOAQUIN COUNT! COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1o. Oescribe anv ha�rdom mterials/vrastes that will be mxnt onwite: <br /> None. <br /> b9$..l,�L< Yj 1y X5Y f� Y 4 £i£e4,9 <±t'N,� L?ttL$hHfMY�� il$�gfikj+.>LJteY£WyfM�{Kai''j',>5et€is�Yals `Y�'Y�iY$% <br /> ©trier , x Y ° G <br /> 11. Describe any items of historical or archaeological interest emsite(e. .,cemeteries or structuresl: <br /> None . <br /> 12. Describe any on-site or off-site sources of noise or vibration(e.g,Freeway noise,he022 equio.'e"t etc:): <br /> Freeway I-5 traffic noise. <br /> 13. Describe any on-site or otf-site sources of light or glare e. ..e2rkinq lot lighting,or reaective materials usedl: <br /> None. <br /> ta, Describe anyan-site or off-site source of odor le. ..agricultural wastes l: <br /> None . <br /> is Cbdisolacemert of O,,ole that 'Il be caused by the Droject(e.q, numbers of pecole.houslna units): <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNEROF 114E PROPERTY OR AN AUT 0;41ZED 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,action or <br /> proceeding against the Owner/Agent's project <br /> I,further, certify under penalty of perjury that I am (check one): <br /> O Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s) Involved in this <br /> application,or <br /> $ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and <br /> have been authorized to rile on their behalf.,and that the foregoing application statements are true and correct. <br /> S}e,u.e NJ Mo lcouw Signature: �A,tn/tn V "�-"-�t'�"t"^ Date: �� Z'' �� <br /> Print Name: 9 � <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: _ <br /> Print Name: Signature: Date- <br />