Laserfiche WebLink
0P,.QU��!. APPLICATION SITE APPROVAL . <br /> N; t <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .0 FILE NUMBER: SA- <br /> cOFN <br /> 44 <br /> Other <br /> Describe any items of historical or archaeological interest on-site (e.g.cemeteries or structures): �✓s�—L <br /> Describe any on-site or off-site sources of noise or vibration e. .freeway noise heavy equipment,etc. : A"-+1y <br /> r_— I <br /> Describe an on-site or off-site sources of light of glare(e.g. parkinglot lighting,or reflective materials used): Al w✓ <br /> Describe any on-site or off-site source of odor(e.g.agricultural wastes): ,✓+.,t.e_ <br /> Eanent of people that will be caused b the ro ect e. .numbers of eo le, housin <br /> units <br /> AUTHORIZATION SIGNATURES <br /> remployees <br /> LY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> rther, 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 Name: 64 tC H AF L 2- Ke-U-'-tignature: 3 (S- —o <br /> Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: _ <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F QE'VSVC\Planning Application Fo"s\Site Approval.(Revised 1-3-03) Page 5 of 9 <br />