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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: UP- - <br /> J Describe any items of historical or archaeological interest on-site(e.g. cemeteries or structures): <br /> None present. <br /> Describe any on-site or off-site sources of noise or vibration(e.g. freeway noise,heavy equipment, etc.): <br /> Site may experience possible freeway noise from Interstate-5 which is a quarter mile to the west. <br /> 1 <br /> Describe any on-site or off-site sources of light or glare(e.g.parking lot lighting, or reflective materials used): <br /> Site will be illuminated with standard parking lot lights, identification signages, fuel prices. No reflective materials. <br /> Describe any on-site or off-site sources of odor(e.g.agricultural wastes): <br /> None expected other than vehicle and diesel exhausts. <br /> Describe any displacement of people that will be caused by the project(e.g.numbers of people,housing units): <br /> None. <br /> i <br /> '#'ROPE�"R�'f f)f��iN Af�T7��]ptl�A �tU7 AN A..F'PLtC,�71D� .::: .......:, <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 County arising from the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that 1 am(check one): <br /> 0 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 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 knowledge and belief. <br /> Print Name: JEFF 1L. E L.KC 3 __ Signature: �( �G Date: - ('7—t Q <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> t <br /> Print Name: Signature: Date: <br />