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'r <br /> - APPLICATION - USE PERMIT <br /> SAN JOAOUIN COUNTY COMMUNFTV DEVELOPMENT DEPARTMENT <br /> .r <br /> FILE NUMBER: UP- <br /> Oftrar <br /> Describe any items of hiatoncal or arciraeoiNical interest on-site e Q.cemeteries or structures): <br /> None <br /> Describe any on-site or off-site sources of noise or vibration(e.g. freeway noise heavy equipment,etc.): <br /> Truck traffic will be similar to existing in frequency and intensity. <br /> Describe any on-site or off-arta sources of light of glare(e.g.parking M Ikftna,or reflective materials used <br /> Parking lot lighting mounted on warehouse wall similar to existing. <br /> Describe any on-site or off-site source of odor(e.g.atiricuttural wastes <br /> No change. <br /> Describe any displacernent of peopie Ciat will be caused by the e. . numbers of people,house units): <br /> None. <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORQED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnity, 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 propertys 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 Brott Ritzel Signature 00K Date <br /> Pnnt Name Signature Date <br /> Print Name Signature Date <br /> Print Name Signature Date <br /> Print Name Signature Date —_- —_— <br /> r'DEVSv(,}N YW19 A"CSbOn Fp Wile Permit (RwW 02-W-10) Page 5 of 9 <br />