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APPLICATION - DISE PERMIT /x•T •;aG e Lb 9 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NO: UP- 9L i'p'O P t, Other Describe any items of historical or archaeological interest on-site(e.g.cemeteries or structuress: None known Describe any on-site or off-site sources of noise or vibration(e.g.freeway noise, heavy equipment, etc.): Highway Route No.991 Farming Equipment/Refrigeration Compressors Describe any on-site or off-site sources of light or glare(e.g. parking lot lighting,or reflective materials used): Highway Route No.99/Tank Farm Lighting Describe any on-site or off-site source of odor(e.g.agricultural wastes): Wine fermentation (during crush season) Describe any displacement of people that will be caused by the project(e.g. numbers of people, housing units): None 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, grantor, 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 that the foregoing application statements are true and correct. San Bemabe Vineyards, LLC Print Name: Jasper Indelicato COO Signatur Date: 2 L Delicato Family Vineyards Print Name: Jasper Indelicato, COO Signatur Date: Z Print Name: Signa r : Date: ROEVSVS\Planning Application Forms\Use Permit(Revised 02-03-10) Page 4 of 5 2016-243 Use Permit