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APPLICATION - SITE APPROVAL SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: SA- <% Other Describe any items of historical or archaeological interest on-site(e.g.cemeteries or structures): None.Site is previously disturbed industrial yard and construction will involve minimal ground disturbance. Describe any on-site or off-site sources of noise or vibration e. .freeway noise heavy equipment,etc. : Project will not generate any appreciable noise on-or off-site Describe any on-site or off-site sources of fight of glare e. .parking lot fighting,or reflective materials used): Project will not involve any new sources of light and will utilize non-reflective surfaces. Describe any-on-site or off-site source of odor e. . agricultural wastes): None. Describe an displacement of oeo le that will be caused by the project e. . 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, trustor, or corporate officer) of the property(s) involved in this application, or Q 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: Justin Jones Signature: _ Date: �� _� ,1� Print Name: Signature: /I Date: Print Name: Signature: Date: Print Name: Signature: Date: Print Name: Signature: Date: __ FADEVSVC0anning Application Forms\Sile Approval.(Revised 02-03-10) Page 5 of 9