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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> -W <br /> FILE NUMBER: SA- <br /> ' <br /> -Older <br /> Dem be kwis of hislorical ora )merest opt she e .cemetsrfas or skuclures: <br /> None <br /> Describe arvy o"Ita or off-she)comet of noise or r+braWn e_ f dobe, etc_ <br /> West of Parcel-1/4 mile railroad tracks <br /> East of Parcel-Hwy 99 (approx. I mile) <br /> Describe any oo-site or oft-site sm=es d IgM of a lot kming,or relW&We mal ink used <br /> West of Parcel is a winery <br /> Onsite will be a lighted parking lot: <br /> Desonbe ww or-she or off-cite source of odor e. .a ic�t.castes <br /> None <br /> Desenbe wW dmpkicerient of people fhet vwti t►e caused by the e.q_numbers a#peopile.housing t�: <br /> None <br /> AUTHKMPWION SIGNATURES <br /> ONLY TW QWWR OF THE.PROREf#TY OR M iRMORfI'F.d AGEM7'NAY FILE M APPUCAi10M. <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 OwnerlAgerit's projed. <br /> I,further,certify tinder penalty of perjury that I am(check one)= <br /> ® Legal property owner(owner kwAxies 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 irwofired in this <br /> application and have been authorized to file on their behaB.,and that the foregoing application statements <br /> are true and correct- <br /> Pt"Neese:Krnn<:R�D. D.. 4/410:7 <br /> PQM H.Wn i� Dude: <br /> i <br /> POM Name: Dere: <br /> Prinl Name- SionsOure: Date: _ _-- <br /> PrRt fame: sig%"re- Dow; <br /> F-DEV$YC U1t& mg Appkalb-Fou+ ASne Ammyi 1.(Dewed(43-04) Page 5 of 9 <br />