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0ac,29-06 01 : 31P Jacquelyn J _ Orr 215 369 5452 P _ 05 <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> Other <br /> Deaoribe MY Hems of hisioNrAl orprahaeclGolcal Interest on-ske e. ,lbmel641e9 a sbucturss): <br /> DascrIbe an vo-aIle or off-lila sources of noise or Vltr H n ca,u.freeway notes haaw a ui nienl etc-): <br /> Freeway noise. <br /> DBaCribs any on-site or otf-tae sources of tight of glom(e. .parkinglol H hila ,ar fefjeCXvg mateliab used <br /> Tower li hts and building lighting, <br /> Deocrlbe an vrrelta a of1$Ha source of odor e. . Rural wastes <br /> Fond lecement of 90 Is that WMI be caused Ota ect e. .numbers or ev lahousl unlla): <br /> AUTHORIZATION-SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY.FILE AN APPLICATION. <br /> I, the OwnerlAgent agree, to defend, Indemnity, and hold harmless the County and Its agents, officers and <br /> employees from any claim, action or pror eedfng against the OwnertAgent's projeeL <br /> I, further, certify under penalty of perjury that I am (check one): <br /> El Legal property owner(owner Include Dr <br /> Q__..1_1 <br /> In this application, or <br /> v— <br /> ® Legal agent(attach proof he owner's consent o the application of the property's involved in this <br /> application and hava n authorized to file on their behalf.)and that the foregoing application statements <br /> are true and CDrrect See attached Exhibit A- incorporated by refer c <br /> Print Name: Citadel Broadcastina Co. slgnatwa: 12!29/06 <br /> Print Nome: l <br /> Signature:it OffData: <br /> Print Name: _ (�pnwra uQ Slgnelurn: Date: <br /> Print Nome: Signalum: <br /> Date: <br /> Prim Name: Signature: Date: <br /> vrmn WCVTI--MGappsoib,Fm�6lW ftpm m_(ReN.W s-03d41 Pegs 5 of 9 <br />