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APPLICATION - SITE APPROVAL y � < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT c .. FILE NUMBER: SA- 4CiFORi�\P Other Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): MWT /,igoUC-*bLG - 5m h+-asA0%-f '--mv Describe any on-site or off-site sources of noise or vibration e. .freeway noise, heavy equipment, etc. : B*1t9w*P-1T• tvotL &iWLLM— vm!!rt - ravcxs +'-tills R. t't'l1tJlWIPJb t 4t*(rpt4b D'F A440r-3cs TLeovCt+n tH A0Cn- 5 Describe any on-site or off-site sources of light of glare e. .parking lot lighting,or reflective materials used): NaT af;m - NOT& A+.j7X 5bkJtLcxN(os luau! o SXts-T11-112P /+o£ but tAaetps of t-454-VT tai ovsgr F-ftp+Tyew.�p Describe an on-site oroff-site source of odor e. . a ricult ral wastes P40k r" Neta.! E) t tavc Describe any displacement of people that will-be-caused by the project e. . numbers of people,housing units): Gh-blF AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, action or proceeding against the County arising from the Owner/Agent's project. I, further, certify under penalty of perjury that I am (check one): Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) involved in this application, or ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been authorized to file on their behalf., and tha the foregoing application statements are true and correct. Print Name: JOE IAOC.HW Signature: Date: Print Name: Signat Date: Print Name: Sig t e: Date: Print Name: S' ture: Date: Print Name: gnature: Date: FADEVSVC\Planning Application Fonns\Site Approval.(Revised 02-03-10) Page 5 of 9