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APPLICATION SITE APPROVAL <br /> ° <br /> / SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- P A - o6 0 0 3 7 <br /> �/FOR <br /> - TO BE COMPLETED BY THE APPLICANT PRIOR TO:FILING THE APPLICATION <br /> Owner Information - Applicant Information <br /> Name: ({, "Z3\ j\) 1-1 Name: <br /> Address: _ © I - Address: <br /> Phone: r_— Phone: <br /> PROJECT DESCRIPTION <br /> Proposal T <br /> Description of the proposed project: <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 /> Materials/Equipment 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 Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ❑Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: 1 eh, <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: Q <br /> F\DEVSVOPlanning Application Forms\Site Approval_(Revised 1-3-03) Page 2 of 9 <br />