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APPLICATION - SITE APPROVAL _ <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> "ME�yNT <br /> FILE NUMBER: SA- A 1 5 0 0 A 2 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: G Name: SIJ{ LZ )1A =�i L <br /> Address: 2 Address: �� -r - <br /> Phone: (06 — '7�57/0 Phone: q - �J <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: 04 6, f% MW� Cz5k c)P, <br /> `f Ft'�17- CtJI E 69 is2J�t16- U <br /> W <br /> Business name(DBA): <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 fac lity, only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> !7are <br /> Materials/Equipment Used _ <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION - <br /> Property Information <br /> Assessor Parcel Number(s) Property Size I Number of Parcels Project Size Williamson Act Copact <br /> p-0 ze <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): /✓(— �/ <br /> Uses to the North: /_ <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> FMEVSVOPIanning Application FormslSite Approval.IRevisetl 02-03-10) Page 2 of 9 <br /> APR Oil 2011? <br /> LWORONP&-N 1AL1fEAiT1i <br />