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r ' <br /> °e4�lN. APPLICATION — USE PERMIT <br /> 2' <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �. FILE NUMBER: UP- <br /> 9 <br /> Other <br /> Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): <br /> C)t,� <br /> Describe any on-site or off-site sources of noise or vibration (e.g.freeway noise, heavy equipment, etc. : <br /> Lk <br /> Describe any on-site or off-site`sources of light of glare e. . parking lot lighting,orreflectivematerials used): <br /> Q�t� ! �c tJ� s 1 (mak,o C.V-�� At-eC-11 A-f-lF Ll n cAt-P-C`�Gv� C, <br /> -7o v t V'b w. QK �..VX,V \a-1, VxC1 \k �n\S i- 1,` "Sn <br /> Describe any on-site or off-site source of odor e. .agricultural wastes): <br /> t v� <br /> Describe any displacement of people that will be caused by the project e. . numbers of people,housing units): <br /> � GtJE <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 /> I, furtber, 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: / / � /(IIID Signature: Date: r,,- <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />