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APPLICATION - SITE APPROVAL <br /> PRIVATE RIGHT OF WAY-ANTIQUATED SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SA- <br /> :::::.::::::.::::. .::..:::::::::::::...::::::;:::.:.<.:.......;:::....... <br /> e <br /> . .....:0#h r <br /> Describe any items of historical or archaeological interest on-site(e.g. cemeteries or structures): <br /> None known. <br /> Describe any on-site or off-site sources of noise or vibration(e.g.freeway noise,heavy equipment, etc.): <br /> None known. <br /> Describe any on-site or off-site sources of light or glare(e.g.parking lot lighting, or reflective materials used): <br /> None known. <br /> Describe any on-site or off-site sources of odor(e.g. agricultural wastes): <br /> Possible farming herbicides &fertilizers, and/or livestock activities nearby. <br /> Descnbe any displacement of people that will be caused by the project(e.g.numbers of people,housing units): <br /> None. <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE P8. TY OR AN AUTMORI AGENT MAY FILE AN APPLICATION <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> j8( Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> 7W Legal agent(attach proof of the owner's consent to the application) of the owner of the property(s) <br /> involved in this application and have been authorized to file on their behalf, and that the foregoing <br /> application statements are true and correct to the best of my ge and belief. <br /> Print Name: Norma J. Norton, Rev. Trst. Signatur . �Date: o <br /> Print Name: Shirley A. Kelly-Spurgeon Signature: Date: <br /> )0 Print Name: Clifton H. & Shelli M. Schofield Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Special Notes.- <br /> In <br /> otes:In addition to owners, notification needs to be mailed to KSN, Inc. at 711 N. Pershing Ave., Stkn., Ca 95203 <br /> and to Escalon Ranch Colony J.V. c% Michael P. Zagaris 1600 N. Carpenter Rd., Suite B, Mod., CA 95351 <br />