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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> s <br /> c' FILE NUMBER: SA- <br /> gC��oRN�P <br /> Other <br /> Describe any items of historical or archaeological interest on-site(e.g. cemeteries or structures): <br /> There are no items of historical or archaelogical interest in the site. <br /> Describe any on-site or off-site sources of noise or vibration(e.g.freeway noise, heavy equipment, etc. : <br /> The only source of noise is from passing traffic along: St.Rt. 120 <br /> Describe any on-site or off-site sources of light of glare(e.g. parkinglot lighting,or reflective materials used): <br /> on-siteThere is no of light as it relates to glare. There is however, <br /> traffic post dusk. <br /> Describe any on-site or off-site source of odor(e.g. agricultural wastes): <br /> Th(-rp is no on site source of odor, Any discarded items are either placed in the <br /> clumpster F. 1 for X&V recycling or biomas. <br /> Describe any displacement of people that will be caused by the project(e.g.numbers of people, housing units): <br /> No one will be displaced-instead jobs will be created 4 sales tax revenues <br /> generated. <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 Owner/Agent's project. <br /> I, 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: Andrew Sephos Signature: Date:10-16-06A <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 6-03-04) Page 5 of 9 <br />