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APPLICATION SITE APPROVAL <br /> N. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> j�. _._ •.P FILE NUMBER: SA- <br /> 4 G j F Data <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: `rte t/�_ ih� Name: {-(�Jy �� <br /> Address: 53 M O,(�4 p j) Address: 12z <br /> S L1__0 C_Q� 0,1 115-a LI 0 <br /> Phone: Phone: k0c, 4 8 6 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> E E k <br /> Business name (DBA): Qr e S m E 6 Q® k ry) <br /> Employees/C.ustomers/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 Deliveries/Other per Shift <br /> 1A sT- Me, o n4 <br /> rn Sb4n CIC- <br /> ikr RyLbirs <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> N ryllerl - 1A; r <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> na <br /> rol 0rn r► ry2& ; rd <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> �] <br /> 2 - Z 60 - 7 S � �L C�S �l o' �Gf ❑Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): COY M p <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F:\DEVSVC\Planning Application Fonns\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />