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OAgUIK. <br /> ' c APPLICATION <br /> ' <br /> (} SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. iP FILE NUMBER: UP- <br /> �IFORN <br /> ar Other <br /> Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): <br /> NIL <br /> Describe any on-site or off-site sources of noise or vibration e. .freeway noise, heavy equipment, etc. : <br /> NIL <br /> Describe any on-site or off-site sources of light of glare e. .parking lot lighting,or reflective materials used): <br /> NIL <br /> Describe any on-site or off-site source of odor(e.g. agricultural wastes): <br /> NIL <br /> Describe any displacement of people that will be caused by the project e. . numbers of people, housing units): <br /> NIL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the County arising from the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> [*� Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. p <br /> Print Name: 'Q U I<VI Clkl Po0 61 L(, Signature: l4 C e Date: 2 2Ic <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> r'dDEVSVC1PIanningApplica[bnFomt5tU5e Permit(RevisedOM3-10) Page$0 9 <br />