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APPLICATION SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r.. •- FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR'TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: . Name: <br /> Address: �[p j ,5 �� Address: Q, �x bit <br /> - ' <br /> Phone: _ Q - Phone: 9-0!1. 3SI . <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: US-44 411 j f C. SU- _f-ad _ <br /> T -5 <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> I I z Zoo ,go <br /> MaterialslEquipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced, stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Ass-e7ssor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> f• _ ' (� f a -� 2AL ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): -S � -�' QJ <br /> Uses to the North: `e F` <br /> Uses to the East: <br /> Uses to the South: k <br /> f Uses to the West: <br /> 1 <br /> FADFVSVC1Planning Application FornnslSite Approval.(Revised 6-03-04) Page 2 of 9 <br />