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APPLICATION - SITE APPROVAL <br /> SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SA-4$- L4 <br /> TO BE COMPLETED BY THE APPLICANTPRIOR TO FILING THE APPLICATION <br /> Owner Information ` A (cant 4sfa <br /> artafpRax Y.G .:Mt, <br /> Name: Name' �1 , <br /> Address: Address: i.34 <br /> C44z <br /> Phone: <br /> 573 cl- <br /> PROJECT DESCRIPTION <br /> Pro ®E <br /> Description of the DINDPOSed roiect: ...— <br /> M4 ci O <br /> - d <br /> t <br /> 1 \ L <br /> Business name DBA): �y <br /> Em ees+Cusiomers per Work Shift <br /> Shift Hours Days of the week Employees Customers per Vehicle Trips per <br /> Number Shift Shift <br /> MAIM <br /> EJsed <br /> Docnbe equipment used in me roect indutle the number of automobiles and trucks): 3d"r <br /> C c JACk <br /> Describe materia•produced,stored or used all hazartlous materials should be identified : <br /> ES <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Pro ht(omlatlon <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project SLze Wllllamson Act <br /> Contract <br /> raj <br /> ❑Yes ❑No <br /> Property/address 1 Q <br /> .__ I Ezisli LarM Uses <br /> Onsite Uses(Include A Crops): .5 Q 6 Ile— <br /> Uses to me North: <br /> Uses to me East -- <br /> Uses:o the South: <br /> Uses to Ne West <br />