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�t� APPLJCATION -ATE APPROVAL <br /> { <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 4 <br /> �Q PILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: NCIY- <br /> Address: u, Address: <br /> t C () l <br /> Phone: Phone: Ism— <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: L.,;, UJ(� <br /> 4ur., CUA G'e� Stv,-3 AN S19.5 r A6 <br /> o <br /> KlEw <br /> i;F : <br /> b <br /> ILE <br /> It,tk-X e <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> IDAA- 41PA VAUs— 10 2D <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the.number of automobiles and trucks): <br /> t'Af U T- <br /> Describe materials produced,stored or used (all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ® rC) I A(C ❑Yes XNo <br /> Property Address: 11L92 kwSka, <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: 5%{eL( Vt K�EX A922 <br /> Uses to the East: u,$ a . <br /> Uses to the South: V CA-G)P+ <br /> Uses to the West: <br /> F:IDEVSVC1Planning Applicabon Forms\Slte Approval.(Revised 05-11-09) Page 2 of 9 <br />