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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> & <br /> 01 <br /> 0", J"'f,%qg'ftR <br /> 0,*ggs,t"', <br /> HN li lo g� <br /> 3-, <br /> A , , I <br /> A <br /> sg�- r ON <br /> 0M <br /> Describe any items of historical or archaeological interest on-site(e.g.cemeteries or structures): <br /> None <br /> Describe an on-site or off-site sources of noise or vibration(e.g.freeway noise, heavy equipment, etc.): <br /> None <br /> Describe any on-site or off-site sources of light of glare(e.g. parking lot lighting,or reflective materials used): <br /> No <br /> Describe any on-site oraff-site source of odor(e.g. agrIGUItural wastes): The solid agriculture waste will <br /> be sIRread and tilled under on the adlacent parcel to eliminate odors .;M_,44 ,,� <br /> Describe any displacement of people that will be caused by the pro'ect(e.lq:numbers,of e thou n. units n. <br /> Pin OVIDA/ <br /> NQne o" <br /> fir..e& <br /> A <br /> ,qg <br /> &6 <br /> --Lh —A, n­ <br /> , pi -gr ..47, g I <br /> AU <br /> 6 ENT! <br /> • -A '"D7N,K <br /> AN A!I <br /> "A <br /> 14 <br /> OR140',_-A: -1 1 N11 <br /> 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 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 /> F1 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 /> Cocoa Fx2ms <br /> Print Name: Ray.' ..Ayensin6 Signature:_j� Date: 2&9/05 <br /> Print Name: General Partner Signature: i Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature.' Date: <br /> Print Name: Signature: Date: <br /> F;kDEVSVCkPlanning Application FormakUse,Permit.(Revised 6-03-04) Page 5 of 9 <br />