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• p UjN <br /> APPLICATION-- SITE APPROVAL <br /> SJO[AQUIN COUNTY COMMUNITY DEVELOPA'ENT DEPAP.TMENT <br /> �"'SkAN oC t may — Alii,Q4d SLt C 0' Ctol <br /> �4<i F•"p1'F' <br /> 6006 .55 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION. <br /> Owner Information Applicant Information <br /> Namr{449.t Name: YIj; t IICrr t r r�tC✓I <br /> Address: (( VE Address: "7 ICc4nk�c�C�r� Lirn-,6 <br /> sc. CA r' — (�> �1a{.'v':n( Cry 9,s 7V 7 <br /> Phone: - 7[-f 14 - '(�:.; Phone: - O ate' bd <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: ),j cL,;3 c a <br /> Business name(DBA): <br /> Employees/Customers per Work Shin <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> MateriaislEquipment Used <br /> Describe equipment used in the project(Include the number of automobiles and trucks): <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> OU% - 1 0-45 15 acres I Yes ❑No <br /> Property Address: 1 1 5 5`I" ,�4 h c.4 �,r,.Q /1«,!„ � (-A <br /> Existing Land Uses <br /> On-Site Uses(Include All Crops): �.J rve vu �G (f C I <br /> YYb I•»cs <br /> Uses to the North: <br /> 1 PF r J��P t <br /> Uses to the East: ;�.Yr,9},�n 1 y}s XiS c-YS <br /> Uses to the South: (? _ eI a- <br /> Uses to the West: QF<_i c'�Pr-4-i<=• 1 r_^ �� <br /> F'1DEVSVGl kaminp Apph.11on Form.Ww Approval(R.,"d 1-3-03) Z of 9 <br /> // <br /> Page <br /> S f4rralkOo-i_%SO-OZ � <br />