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APPLICATION - GENERAL PLAN AMENDMENT SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 10. Describe any hazardous materials/wastes that will be present on-site: �Arr/� f75 0l,1�'2 N F-X 77AJ4 �hnIY9rGuST O X 6 En/ AZ65-7-E1_YNE 0/(,.5 ::. ........:::.:.::.....;.;..<: Other 11. Describe any items of historical or archaeological interest on-site(e.g.,cemeteries or structures): /V 0 12. Describe any on-site or off-site sources of noise or vibration(e.g.,freeway noise,heavy equipment,etc.): ON 4-9 7-,5- — 772UGKS ) 11,1Z L-1; T3 /3A?�ij�GJ�ttlj 6)AC- a rE — 41W t/ 99 4 /)1044ads�4 12D 13. Describe any on-site or off-site sources of light or glare(e.g.,parkinglot lighting,or reflective materials used): NO AoE- 14. Describe any on-site or off-site source of odor(e.g.,agricultural wastes): ND tioE 15. Describe any displacement of people that will be caused by the project(e.g.,numbers of people,housing units): /V K/E AUTHORIZATION SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. ' I,the Owner/Agent agree,to defend,indemnity,and hold harmless the County and its agents,officers and employees from any claim,action or proceeding against the Owner/Agent's project. I,further, certify under penalty of perjury that I am(check one): xLegal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved in this application,or O 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. Print Name: ' yYv�� Signature: �GAeEi JeE Y 7ft/" Spm/ Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: -4-