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f - <br /> ��. APPLICATIO - SITE AP1 R <br /> OVAL <br /> " SAN JOAQUIN COUNTY COMMUNITYE '•• � DEVELOPMENT DEPARTMENT <br /> 4 <br /> � �'. .,::elk:.,- r • - - - <br /> �iFoai�� FILE NUMBER: SA- <br /> — <br /> Describe an items of historical or archaealo ical interest on-site e. . cemeteries ar structures . <br /> None. <br /> t�t Describe an on-site or off-site sources of noise or vibration e. .freeway Heise, hea a ui ment,etc. <br /> i _ <br /> Heavy equipment is currently present and operating on site due to aggregate mining operations. <br /> f <br /> Describe an on-site or off-site sources of light of qLare e. parking lot lighting, or reflective materials used <br /> Aviation Ii hting and task.lightinq at turbine structure and electrical enclosure as needed. <br /> Describe an on-site or off-site source of odor(e.g.a riculturai wastes): <br /> Not Applicable. <br /> Describe a iy dis lacement of people that will be caused by the project(e.g. numbers of ea le, housing units), <br /> None. <br /> 4 nAUTHan <br /> OR�ZATiO $IGVATURES � �&apy <br /> b}, .s:.N,& # _ �.z�x-ij1s .e.,.. a'. `^;+'"` !" '? <br /> ONLY`SHE,QWNERF.nQFT�E,PROPERI'Y;�RAN>,'AUTHORIZEt]AGENT,M�iY��LEa�Nq <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 Ow <br /> • 9 Her/Agent's project. <br /> 1, 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 propert)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: Jeffrey C. Hoelsken Es Signature: a� <br /> Date: <br /> Print Name: Signature: <br /> Date: � <br /> Print Name: Signature: I <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name' Signature: <br /> Date: <br />