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APPLICATION - SITE APPROVAL m <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPART MEN'r t <br /> " FILE NUMBER: SA. __„_ <br /> Other <br /> i <br /> Describe any items of historical or archaeological interest on-site e. .cemeteries or structures): _,�„d• <br /> There are no historical or archaeological Items of interest on site. <br /> s <br /> a <br /> Describe any on-site or off-site sources of noise or vibration e. .freeway noise heavy equipment,etc. : <br /> The s its is in an industrial location surrounded by the Stockton diverting canal,Highway 99 and existing railroads. <br /> 4 <br /> W e <br /> Describe any on-site or off-site sources of light of glare e. .parking lot lighting,or reflective materials used): <br /> r <br /> The only source of lighting of glare would be from the light of the existing adjacent buildings, The proposed bulldin s will have Iew f. <br /> tare security lights. <br /> i <br /> 'Describe anY on-site or off-site source of odor e. .agricultural wastes): <br /> F <br /> No current source of pollution pertaining to odors exist or are expect to occur on site. <br /> C <br /> Describe any displacement of people that will be caused by the Project(e.g. numbers of people, housing units): <br /> N/A. No displacements shall occur,the site is an already industrial site on which nobody resides. <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,further, certify under penalty of perjury that I am (check one): <br /> rJ 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: y 84 -Al'- 1� <br /> It, Signa x - / Date: moi— f;, / —/7 <br /> L <br /> Print Name: ab e: Date: <br /> Print Name: Signature: Date: <br /> Pdnt Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> "When the Minor Subdivision Application is approved. <br /> F:DEvsvoPlanning Applimlion FarmslSite Approval.(Rmdsed 02-0310) Page 5 of 9 <br />