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APPLICATION — SITE APPROVAL <br /> a ` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: c \, ( Lt-f ' Name: <br /> Address: ' �j ` � 'Z Address: <br /> Phone: 42tk h A t e x-01, \ V,a(' Phone: 'F S j - 7 7 <br /> d - G L10 65-4 PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> n/1 0 AS 1�0� U 1 v1 <br /> .. 4' " <br /> Business name(DBA): <br /> Employees/Customers/Deliverles per Work Shift" <br /> '(sttaeh additional breakdown/explanation for each phase of development,seasonal production,etc. If applicable) <br /> NOTE: If the Proposed develo rheht 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 /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> ToPlI4 k I io 04+on flA..t <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) T Property Size Number of Parcels Project Size Williamson Act Contract <br /> /(?3?oq-70/q0 I 1 3.3 0 Yes 2No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> tcc in 4. <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> FADEVSMPlanning Application Forms\Sita Approval,(Revised 02-03-10) Page 2 of 9 <br />