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p.UI IA <br /> APPLICATION --SITE APPROVAL <br /> U SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' FILE NUMBER: SA-PA - 0 Fi n n 4 3 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION 8• .ry' -- Y r� <br /> Owner Information Applicant Information <br /> Name: 7�c Name: <br /> Address: y / 7yJw r j' ,� Address: ' r Tt sLyj <br /> Phone: < Phone: <br /> PROJECT DESCRIPTION <br /> Proposal - <br /> Description of the proposed project: <br /> s <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 /> 5 0 S O <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> r i� <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 /> Q —42-7 / Z .5)lr7 ❑Yes KNo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: P <br /> Uses to the East: � <br /> Uses to the South: <br /> Uses to the West: <br /> F.\DEVSVC\Planning Application Forms\Site Approval.(Revised 1-3-03) Page 2 of 9 <br />