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} t <br /> APPLICATION - SITE APPROVAL <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> p FILE NUMBER: SA- PA e o 5 '0 @ 1 9 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE"APPLICATiON. ' <br /> Owner Information Applicant information <br /> --- <br /> Name: 4�q ES EI Name: 4Y,,5'51Y <br /> Address: t/ �,r j- Address: 3 ).J- 4✓ /{/Ci t>/AY <br /> Phone: bZ'2g76 -ccu- 5qg -66 Z Phone: 76• cFu S98'6GY2 <br /> PROJ�CTD€$CRIPTION <br /> Proposal <br /> Wtheproposedf the proposed project: vEu,u& KAC/G Y[Ls I/IMAU- 2 - 29061 cAccm,v evtCrBov✓Arbr� <br /> 10610 6,Jt X61✓ t n.VN ® It S CoTd S G //✓G �O6 w17N r� Y 4J2 v PC L. 4� 016Xr /W f.S SG W 7N 1�r PiE,rJr.£ns AVl . 4v' x 59'11 1S' i;" I /GJ!isOtvlrW G- 170 A.f 'C ��'/4G/!TS 11me (DBA): fz T 's 7LAC <br /> Employees/Customers per WorkShift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> I 1 .7`O f0 <br /> Materials/Equipment.Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> A oVIL j;;&P .v/1 T /✓Kr t ,D/5/°/f ✓S/"[�5, <br /> Describe materials produced,stored or used (all hazardous materials should be identified): <br /> 1.,4 SOLI✓ _ C s 7 89 47 , PISICL mc- <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Pcelumbers) ProNperty Size Number of Parcels Project Size Williamson Act Contract <br /> ar <br /> I _ 0 —Z 7- 6 6C. s eFl X 3 5(7 ❑Yes C3 No <br /> Property Address: 57_d CW rr'V CA ' <br /> Existing Land Uses <br /> MNorth: <br /> (Include Ag Crops): <br /> orth: /o, IXAII✓t,C/ast: - I I outh: --)I --- 1' <br /> est: <br /> F\0EVSVC\Planning Application Forms\Site Approval.(Revised 1-3-03) Page 2 of 9 <br />