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APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- AI ;J ® ll 6 2 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: G Name: t�1m1A (� <br /> Address: Z Address: —` �.�. <br /> !•.N <br /> Phone: -7 / Phone: I-LisG d <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: Q4 <br /> E & u <br /> IQLcu <br /> / - V CE- 5/7- - N <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 facilit , only list the additional increases below <br /> Shift Hours Days of the week I Number of Employees Customers per Shift Vehicles per Shift <br /> S� <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 /> I" U� !. <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property SizeNumber of Parcels Project Size Williamson Act Con ract <br /> . b - / 471q4 ❑ Yes ENo <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 /> F:\DEVSVOPlanning Application Forms�Site Approval.Revised 02-03-10) Page 2 of 9 <br />