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�.' <br /> U.1 <br /> A� (7) <br /> APPLICATION - AGRICULTURAL�. . , •� LTURAL EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: PA- 9 S <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ,� Na5 Name: C <br /> I Address: ® j <br /> Address: D <br /> Phone: 4;Xcf0 Phone: <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property information <br /> Assessor Parcel Number(s) Property Size Number of Parcels �ProjeZe Williamson Act Contract <br /> `� U 1 �� �G t� Yes No <br /> Property Address: <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdowri/explanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the ro Deed develo ment is an addition to an existin facili ,onlist the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Materials/Equipment Used <br /> Dkn <br /> uipment used in the project(include the number of automobiles,trucks,forklifts,etc,): <br /> �- t�1C. Q Daterials produced,stored or used(all hazardous materials should be included): <br /> t. <br /> Existing Land Uses ' <br /> On-Site Uses(include,fig Crops): 6c'e 64 <br /> Uses to the North: <br /> i <br /> Uses to the East: <br /> Uses to the South. <br /> Uses to the West: r, <br /> ROEV5VManning Application Forms% Page 3 of 15 a <br /> Agricultural Excavation.doc.(Revised 02-03-10) <br />