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OP'4U•IN• C <br /> APPLICATION — SITE APPROVAL <br /> 'Z' a� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> oP/ FILE NUMBER: SA-_Pp 1 5 0 0 2 0 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: <br /> Address: r Address:///`jse L„ <br /> �� OG4� G•r S C <br /> Phone: - Z Phone: Z O f G_Z <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> r � <br /> Business name(DBA): . — <br /> Emplo es/Customers/Delivlliries per Work Shift" <br /> *(attach additional breakdown/explanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an existing facility, only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> n S �. <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 /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> o7_ _ P<es [:] No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: -T <br /> wc <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: I �l <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 02-03-10) Page 3 of 10 <br />