SU0008926 - Laserfiche WebLink

Home Browse Search

APPLICATION - SITE APPROVAL SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: SA- Other A-Other Describe any items of historical or archaeological interest on-site (e g. cemeteries or structures): None Describe any on-site or off-site sources of noise or vibration (e.g. freewa noise, heavy e ui ment, efc_ Existing on-site semi truck traffic and manufacturing operation in the production of glass bottles. Describe an on-site or off-site sources of light of glare(e.g. parkinglot lighting, or reflective materials used): Aviation lighting and task lighting at the turbine and electrical enclosure as needed. Describe any on-site of off-site source of odor(e.g. agricultural wastes): Not applicable. Describe any displacement of people that will be caused by the project (e.g. numbers of people, housing 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): E]Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) involved in this application, or [2tegal agent (attach proof of the owner's consent to the application of the propertys 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: /9 a tt6J gL*,I t Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name Signature: Date: Print Name: Signature: Date. F.%.C,1'VSV&P1anning AophCalron Forms%FSile Approval;Reviseo 02-03-1C! Page 5 of 9 . ....................................................................... .. .. ..... .. ............