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y /� � I A <br /> ;. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO : ZR - <br /> Other <br /> Describe any items of historical or archaeological interest on -site (e . g . cemeteries or structures ) : ___ nothing known of <br /> Describe any on -site or off-site sources of noise or vibration (e . g . freeway noise , heavy equipment , etc , : <br /> E Main Street <br /> Describe any on -site or off-site sources of light of glare ( e . g . parkinglot lighting , or reflective materials used ) : none <br /> Describe any on -site or off-site source of odor ( e . g . agricultural wastes ) : none <br /> Describe any displacement of people that will be caused by the project ( e . g . numbers of people , housing units ) : none <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 employees from any claim , <br /> 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 /> ® Legal property owner ( owner includes partner , trustee , grantor, or corporate officer) of the property( s ) involved in this <br /> application , or <br /> ❑ Legal agent ( attach proof of the owner' s consent to the application of the property ' s involved in this application and have been <br /> authorized to file on their behalf. , and that the foregoing application statements are true and correct . <br /> Print Name : Robert Caffese Signature : Date : <br /> Print Name : Steve Lagomarsino Signature : Date : 12 ® / PalS <br /> Print Name : Signature : Date : <br /> Print Name : Signature : Date : <br /> Print Name : Signature : Date : <br /> F: IDEVSVS1Planning Application Forms\ZONE RECLASSIFICATION Page 5 of 5 <br /> ( Rev. 05 - 1 1 - 09 ) <br />