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APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> '. n <br /> FILE NUMBER: SA- PA 18000 7 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owmer Information Applicant information <br /> Name: ��l Name: F`L{(C� S `m C9 w, <br /> Address: 71171.9 t4, VIS P-1 . Address: r"D. e0k (nil <br /> Lrv( Cp, R 'ZA? Wl CA c5524e <br /> Phone: 22Fi - �Z Phone: `19-2332 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: o-41 k)-d A 1 <br /> l id QCA¢ `Tv/AIG Rom'( STQU4 boX <br /> L W �� �f- OLMA d(q It> 716 0J WV 0 <br /> 5 U cQr U-MW ld <br /> Business name(DBA): V IOfdLI <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 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 /> - sum 2 20 L <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> PFJ V i' <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> r <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 0�s- OW- ,�r\\ -f 1 � RC. Yes [I No <br /> Property Address: IWC V(`� E-O ( ltt 25ZAL <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): V 2l0fOCk- <br /> Uses to the North: Vt W1 i(of .,':p - <br /> Uses tothe East: <br /> Uses to the South: yJ <br /> Uses to the West: - <br /> F XDEvsvcwl a inning Application Forms\Slte Approval(Revised 02-03-10) Page 2 of 9 <br />