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1• 4�rE+t�G\1 <br /> zs APPLICATION -- USE PERMIT <br /> { < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> Other <br /> Describe a items of historical or archaeological interest on-site Le.q.cemeteries or structures: <br /> None known. <br /> Describe an on-site or off-site sources of noise or vibration e. .freeway noise,heavy a ui ment,etc.): <br /> Heavy equipment will continue to be used for construction,daily operations,and closure of landfill. <br /> Describe an on-site or off-site sources of ii hk of late e. . arkin lot fighting,or reflective materials used),.— <br /> Portable <br /> sed :Portable li ht stands are trtilized to com iete refuse dis osal and cover activities durin winter months.No additional lighting is <br /> ropose . <br /> Describe an on-site or off-site source of odor e. .a ricultural wastes): <br /> T 'cal odors associated with landfills fi.e. landfill gas.refuse). <br /> Describe an dis lacement of people that will be caused by the pLoject e. .numbers of 2eople,housing units): <br /> None. <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 /> 1, further, certify under penalty of perjury that I am (check one): <br /> X 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. <br /> - i <br /> I <br /> Print Name: Mike Caorio Signature: ' f Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F.DEVSVC1Pian)ing Appiiration For lUse Permit.(Revis d O2A3-10) Page 7 of 9 <br />