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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> IMher <br /> DeecrlOON flame of Nebk Iwerta pllnbmipNNe . .GTe1MM dMnREees:None kno4 . <br /> D en 41ewaR-see aourm o/ncbe a.e.aw s. ./reea'e noW h s u mens eb.: <br /> On-Site: Truck traffic. Off-site: Freeway noise from SR-120. <br /> DeeplSe en ,n aoR-eaa rao a tat e. e. , bl l M1tln meld e <br /> On-site light fixtures will be installed.All lights will be downcast to reduce glare. <br /> Deewibe m wgR-tib of a brM Nn' <br /> None known. <br /> Daevlgs M 1 N Tal v.M la ewaed W s. .noose.. a M1anh unit <br /> None.Site is currently part of the existing Food Express. <br /> AUT14ORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORMO AGENT MAY FRE AN APPLICATION. <br /> 1,the OvmeMAgent agree, to defend.Indemnify, and hold harmless Ne County and Its agents,officers and <br /> employees from any claim,action or proceeding against the County wising from the Ower/Agent's protect. <br /> 1,further,certify under penalty of perjury that I am(check one): <br /> (I Legal property owner(owner includes partner,wales,trustor,or corparale omcer)of the propeny(s) <br /> nvaived In INS application,or <br /> fI/Legal agent(attach proof of the owner's consent to the application Of the propertfs Involved In this <br /> application and have been suthodzed to His on their behalf.,and that the foregoing 8pp9callon statements <br /> are tru tl—Af1j, U11ye <br /> p <br /> Pnm Naar: r OLA✓1 1'�Y�6'1'/•17 signwn: � oats: <br /> R <br /> ist Nanta: skn.m.: D.I.Dela'. _ <br /> IWtNsna: sk at . Oe1e'. <br /> P 'Nems slg tu,e: pole'. <br /> Fen Name'. Now..: Dea: <br /> srvevrvcv r.M1N he+.a ra..uuroww..ta..r etu.rs Page 5 da <br />