Laserfiche WebLink
°�-= ' APPLICATION - SITE APPROVAL <br /> moi` <I SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> Other <br /> Describe any items of historical or archaeological intereston-site (e. .cemeteries or structures): <br /> None known. <br /> Describe any on-site or off-site sources of noise or vibration e. .freeway noise heayy equipment,etc.): <br /> Tractor noise from surrounding fields. Cars moving on Linne Road <br /> Describe any on-site or off-site sources of light of glare (e. . parking lot lighting,or reflective materials used): <br /> None <br /> Describe an on-site or off-sitesourceofodor(e. .agricultural wastes): <br /> None <br /> Describe an dis lacement of people that will be caused by the project(e.41. numbers of people. housim. 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 County arising from 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 Nam Signature• �JEDate.�4//94r <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Dater <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FtOEVSVCkRannag Appkabon Finans!Sda Approval.(Revised 02-0310) Page 5 of 9 <br />