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Pqu.t'! PLAN MAP AMENDMENT 1 I SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: - 4rrFOPN` - Hazardous Materials - Describe any hazardous materials/wastes that will be present on-site:: None. Other Describe any items of historical or archaeological interest on-site(e.g.cemeteries or structures): None. Describe any on-site or off-site sources of noise orvibration(e.g.freeway noise,heavy equipment,etc.): - Noise from Mariposa Road traffic; Trucking operations on adjacent parcel to the north Describe any on-site or off-site sources of light of glare(e.g.parking lot lighting,or reflective materials used): Parking lot lights existing on adjacent parcel to north. Describe any on-site or off-site source of odor(e.g.agricultural wastes): None on site. Rendering plant west of propertygeneratesstrong odors. Describe any displacement of people that will be caused by the project(e.g.numbers of people,housing 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 Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): IrAf Legal property owner(owner includes partner, trustee, grantor, 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 behalf., and that the f ing application statements are We and correct. Print Name: J00A.1 }1-4 0 X0," . Signature: Date Print Name: Signature: Date4z:: _-_� Prim Name: Signature- Date: Print Name: Signature: Date: Print Name: Si nature: Date: F:0EVSVQPlanning Appll awn Forms% Page 7 of 7 Plan AppliW6on Amendmentdoc.lRevlaeJ 11-05-07