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05/16/2006 14:15 FAX 4153464965 WESTERN EXHIBITORSf�002 <br /> GEORG ft ROL3RLGUEZ 9460725 05/16/00 <br /> 6 4:09Pm P. 2 <br /> APPLICATION -- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> C <br /> .-�� k s uR o y'' ♦ .�:. .i[.- -,ro :e. <br /> ...I > .r,Nr» �Zfa.- � <br /> Desrribe any items of historical or archaeo122jeat interest on-site (e.g.cemeieries or structures): <br /> Describe any on-site oroff-s-tte sources of noise or vibration(e.g-freeway noise heavy equipment, etc.): <br /> aA -E <br /> Describe any on-site or off-site sources of light of glare(e.g.perkinglot ii htfn ,or reflective materials used): <br /> Describe any on-site or off-site source of odor(e-Q.agricultural wastes): <br /> Norte -4)2P "It 113 V111 % <br /> describe an displacement of w� to that will be caused b the t(e.g-numbers of ole,housingunits): - <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, 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 Owner/Agent's project. <br /> 1,further. certify under penalty of perjury that I am (check one): <br /> XQ 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 cimer'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. <br /> Print-Name: WENDY TONKIN Signature: 12 _ADate: 5/16/06 <br /> Print Name: (CORPORATE SECRETARY) <br /> Signature: Date: <br /> Print Name: Signature: Date- <br /> print Name: Signature: Date: <br /> PrintNarne: Signature: Date: <br /> F.-1DEV$VCV4anninpAPPViC on FrnmslSiWAPPrmral.(Revised 1-3-03) Page 5 of 9 <br />