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APPLICATION - SITE APPRC VAL <br /> j SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEP, TMENT <br /> FILE NUMBER: SAY A, m0500484 <br /> 0 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION ' <br /> Owner Information Applicant Information <br /> Name: " Name: p d� <br /> Address: p Address: Q F�E+. (41 <br /> r i Tim �AJ�r <br /> Phone LKS _ I I 6 Phone: <br /> PROJECT DESCRIPTION <br /> - <br /> Proposal <br /> Description of the proposed project: <br /> 1 <br /> 0 <br /> Business name(DBA): �� <br /> Employees/Customers per Work Shift - <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle l s per Shift <br /> t-w t713� or, t\ fl' J <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> ( 6 Y <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> Qr <br /> s <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson L Contract <br /> IG 1 ^ " CC ❑ Ye: No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): N�Nt <br /> Uses to the North: &T <br /> Uses to the East: <br /> Uses to the South: fl <br /> Uses to the West: A(T <br /> 'DEVSMPlanning Application FonnsGSite Approval.(Revised 1-3-03) Page 2 of 9 <br />