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aA �`" APPLICATION — �� QPM/ % <br /> `yi SAN JOAQUIN COUNTY COMMUNII Y DEVELOPMENT DEPARTMENT <br /> `� FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Inforrnatlon <br /> Name: '3ckenY, Name: �p <br /> Address: 00 vokf Address: '22( V <br /> AcA A 955260 <br /> Phone: (2-0913L9 - Phone: C 2co -_z) -A -G5 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> I <br /> Business name (DBA): u ZA <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): NIA <br /> Describe materials produced, stored or used (all hazardous materials should be identified): N/ <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of ParcelsProject Size Williamson Act Contract <br /> — 17 ,Q Ac ' k. ❑Yes IZI No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops):S\r d W ? 7Q e <br /> Uses to the North: a <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: 5 <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 6-0304) Page 2 of 9 <br />