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> "-- APPLICATION - SITE APPROVAL <br /> - <br /> + SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- PAS 1 4 A A" <br /> /FORS <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ap Name: l o,a'F [' r •jjeKC / :L <br /> Address: L 7 - p Address: O <br /> cKrc/v szis re,ti le.'' J UQ <br /> Phone: - s/>t3 Phone: fx <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> Jt! - 12 00-0 S lO` D T v .L <br /> �fs,n,,,' narri <br /> 4 .2 n vA S 'A& *(DBA): c)'A.tJ ryi A/L "104 ^-/ Li cy".;Zc <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 /> '� v,Cl,✓f i. <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> r -- <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 /> e2.C, .. ❑ Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): S I /,Uit;; PLAPf A zVk6,7S <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: 14 Z <br /> Uses to the West: A `;s <br /> F OEVSVOPlanning Application ForrastSite Approval.(Revised 02-03-10) Page 2 of 9 <br />