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t <br /> APPLICATION - SITE APPROVAL <br /> t,Akl <br /> e < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' FILE NUMBER: SA- <br /> Other <br /> Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): <br /> Please see Section 4.0 of the Supplemental Information Report <br /> Describe any on-site or off-site sources of noise or vibration e. . freeway noise, heavy equipment,etc. : <br /> lease see Section 4.0 of the Supplemental Information Report <br /> Describe any on-site or off-site sources of light of glare e. .parking lot lighting,or reflective materials used): <br /> During operation the facility will be illuminated at night with appropriate lighting.All lights will be facing <br /> downward to reduce light pollution. <br /> Describe any on-site or off-site source of odor(e.g. agricultural wastes): <br /> There are no on-site or off-site source of odor near the project. <br /> Describe any displacement of people that will be caused by the project(e.g. numbers of people, housing units <br /> No people or housing units will be displaced due to the project. <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 /> ❑ 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 /> Print Name: Ra Brit cL�S n,T. Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FMEVSVC\Planning Application Forms\Site Approval.(Revised 02-03-10) Page 5 of 9 <br />