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,p.Rgv ICY.,�a APPLICATION aiTE APPROVAL <br /> j SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> Other <br /> Describe anyiterns of historical or archaeological interest on-site(e.g.cemeteries or structures), <br /> None <br /> Describe any on-site or off-site sources of noise or vibration (e.g.freeway noise,heayy equipment etc: : <br /> Adjacent existing railway and freeway, and existing on-site semi truck traffic. <br /> Describe an on-site or off-site sources of light of glare(e.g-parking tot fighting,or reflective materials used). <br /> Aviation lighting, and task luting at turbine structure and electrical enclosure as needed. <br /> FNot <br /> e an on-site or off-site source of odor(e.g.agricultural wastes): <br /> plicablee an dis lacement of eo le that will tie caused b the ro"ect e. .numbers of eo le,housin units : <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, 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 frorri 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: Doug Moyles <br /> Signature: Date, �� 2D1� <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:10EVSVC',Piannirng Application Forms'Sl:e Approval,(Revised oS-11-09} Page 5 of 9 <br />