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QAQu, APPLICATION - SITE APPROVAL <br /> `'• r1 ti: Z� <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �4.•- :.....�e/ FILE NUMBER: SA- <br /> L� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING-THE APPLICATION <br /> Owner information Applicant Information <br /> Name: I C Name: <br /> Address: ea 0 S Address: <br /> ret k ld� qt;:7-3) <br /> Phone: Zc?C 30 7 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> a 1AilS�? <br /> Business name(DBA): t�r <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 facility, 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 /> �f <br /> Describe mate als-produced,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information ' <br /> Assessor Parcel LNumber(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> • � 'Q '��f�� ®d Z� j Y�1 � le <br /> ❑ Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include.Ag Crops): it___ - I <br /> )'yi <br /> Uses to the North: aVV CC)yv\Q. <br /> Uses to the East- <br /> -1 OC- -i <br /> Uses to the South: ` <br /> Uses to the West: <br /> F OEVSVC\Planning Application Forms\Site Approval.(Revised 02-03-10) Page 3 of 10 <br />