SU0011280 - Laserfiche WebLink

Home Browse Search

u'`"` APPLICATION - USE PERMIT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT c•., P' FILE NUMBER: UP- Other Describe any items of historical or archaeological interest on-site (e.g. cemeteries or structures): N/A Describe an on-site or off-site sources of noise or vibration(e.g.freeway noise, heavy equipment, etc. : Freeway adjacent to the project site. Noise from trailers on-site, but noise will be negligible compared to Hwy 99. Describe an on-site or off-site sources of li ht of glare e. . parking lot lighting, or reflective materials used): N/A. The proposed lights will be directed on site and have no impact to the adjacent property. Describe an on-site or off-site source of odor(e.g. agricultural wastes): N/A Describe an dis lacement of Deople that will be caused hy the ro'ect e. . numbers of eo le,housin units None. 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 County arising from the Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): Fx� 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 the application of the property's involved in this application and have been authorized to file on their behalf., and that the foregoing application statements are true and correct. Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: F:\DEVSVC\Planning Application Forms\Use Permit.(Revised 02-03-10) Page 5 of 9