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APPLICATION -*ITE APPROVAL _ n: SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: SA-_ .w s,=�`k�S' z��-�i��,"�w".s�' .n.�-zfia'�?:a --��r��b ,::= -•=��.s'.'�jE'r,_:_ ,-._��h�,-�:�i'Y��2T,a�fi�' t- - - 'r� a '"�,� ': x e5G 1b en iterrrs df historical Or arcttae4E it at interest ori site e: _cemeteries or structures)- A fDyl e- . -_.__......... tit scr�Fae any on site or ott-site sources of noise or vibration(e_q.freeway noise, heavy equipment,etc_)__ , _.._..._._..--...............____ )PS01>0 2fly on-site or off-site sources of light ofd fare je g.parking Eat licq irnq ar reflective materials used): �� ' -1 1/e —_ -- -,_ la ?esc..it�r.. cant ren-site or off-site source of odor e.E . a rrcultural waste_--- � - _._............_-.. ...................-___- _------------- --- _._....-._......_..._..__...__-- - __.__......-_....----- --.. _. ................ ....._ )esC.riL.C.: any disfltacement of people that will be_.c;.atlsed E3+the profits numbers at people,housing AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and >rnployees from any claim, action or proceeding against the Owner/Agent's project. 1, forth€J, certify tinder penalty of perjury that l am (check one)- legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the properly(s) invelved in this application, or t.egaE 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 chat the foregoing application statements are true and correct. Date 1t-fC3 SiUn iiuTe=rlr t��1.� i�_ dirt - 1 - is: - .Z/c 7 � 'v.trtsr- >iEstrit3ttarE �� ____ Date nl lts3rrt.• `>icaE C it rEa D itt'- E '...•.:'E'=:;r:u'c?Ar;:'1!'C 3[Et'1:nrr3s15te:RfGrr3:;