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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUn DEVELOPMENT DEPARTMENT <br /> �•.. ., P FILE NUMBER. <br /> �lFOR�� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> i <br /> i Name: S (= JI Q LLL l Q Name: <br /> Address: 1`7 3S_ 50tAv e k t Address: <br /> Phone: Phone: <br /> i PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: -277jV ' L iC t)L-C— [Z X V6 0 1 <br /> t> <br /> Business name (DBA): <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdownlexplanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an existing facility,only list the additional increases below <br /> I Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <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 Number of Parcels Project Size Williamson Act Contract <br /> 3—Z7 6 — 1 (0 .1-3 &4_4E& !Z X yo, ❑Yes vo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): UL- I 6C- c--?-:lLV t PJu <br /> Uses to the North: LA N fLt;Vcz> <br /> Uses to the East: L.t ti V 00 OL�'S`2 st <br /> Uses to the South: ?_1..,C-/L_ {A/�/ /JQ <br /> Uses to the West: {,f PI-1 t-t ,,� 1��a"�'L� ACyt <br /> F:0EVSVC\Planning Application Forms\Site Approval.{Revised 02-03-40} Page 2 of 9 <br /> i <br />