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APPLICATION - USE PERMIT <11 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: UP- Other I Describe any items of historical or archaeolccical interest on-site (e.g.cemeteries or structures): There are no historical or archaeological interests on site. Describe anv on-site or off-site sources of noise or vibration (e.p.freeway noise, heavy equipment,etc.): The site is adjacent to the railroad and freeway, but given the industrial nature, this poses no problems. Describe any on-site or off-site sources of light of glare(e.g. parkinglot lighting,or reflective materials used): Any lighting would be shielded from adjacent properties. I 1 I Describe any on-site or off-site source of odor(e.g. agricultural wastes): i General agriculture , I Describe any displacement of people that will be caused by the project(e.g.numbers of people, housing units): There would be no displacement of people. 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. 1, further, certify under penalty of perjury that I am (check one): ® Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) involved in this application, or ❑ Legal agent (attach proof of the owner's consent to ft application of the property's involved in this application and have been authorized to file onth half., and that the foregoing application statements are true and correct. Print Name: Mike Girdner Signature: Date: �U Print Name: Signature: Date: i Print Name: Signature: Date: Print Name, Signature: Date:_.___._._ Print Name: Signature: Date: I F:DEVSVC\Planning Application FormsWse Permit.(Revised 09-10-08) Page 5 of 9