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,o.••p4U`" APPLICATION - AGRICULTURAL EXCAVATION <br /> ��.coc <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> C''•. P <br /> FILE NUMBER: PA- <br /> PA_ 14 0-04-4-0 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: G Name: _SeRJGftA1, GA <br /> Address: Address: L R <br /> C.( OA Qktsl4A O-A q523I <br /> Phone: 0 y, 99-1 j- S'Z Phone: 2(25- 9 .S <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> /'5F3 -'34(0- 3 • (-;*N� Yes ❑ No <br /> Property Address: <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdown/explanation for each phase of development,seasonal production, etc. if applicable) <br /> NOTE: if the pro osed development is an addition to an existing facility, onlist the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> V <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe materials produced, stored or used (all hazardous materials should be included): <br /> :54 tJD <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: )COLL) C- S A CJ O <br /> Uses to the East: Rc9w CPLA415 A <br /> Uses to the South: R O(,J ('_: 0 '5 (L CA <br /> Uses to the West: PZOW c40 $ <br /> FADEVSVOPlanning Application Forms\ Page 3 of 15 <br /> Agricultural Excavation.doc.(Revised 02-03-10) <br />