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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: SA <br /> TO BE COMPLEiED BY I!1E APPLICANT PRIOR tO - Id 1NSa TINEAPILiGAMN, <br /> — 0wnerin(omtwwn _ _ A lieantWormatiow <br /> Name: Nama: <br /> Address. Address: 13 L N <br /> Lori I L8 Loci , <br /> /� n2 / LI �j ^9 D <br /> Phone: 2O�' `13� - o� I D Phone: iC — <br /> Fr<C'yJZGTDESCR!PTION I <br /> OescripDun c me;:rp asd projxC <br /> -y C <br /> n <br /> rtl <br /> r r� . <br /> Business name 08AI: <br /> EmployeesfCusfnmers er Work Sp(R �m" <br /> Shift Hours Days of the week Employees Customers per Vehicle Trips per <br /> Number Shift Shift <br /> £* ' tda�halslE - ttlsed' .,z s� �,�3 .� •,::i:`,.,F"�. :x �. <br /> Oescnbe ui ment used in the roject include the number of automobdes and trucks : <br /> res <br /> l ,. ibe atena!s procuced stored or esw tail hazardous materials should be identified): <br /> PROPER rY AND VICINITY DESCRIPTION <br /> Pro rt Ihfnrttutwn ..--_ — <br /> Assessor Parcel Numberjsl Property Size Number of Parcab Project Size Williamson Act <br /> Contract <br /> C r <br /> ❑Yes ❑No <br /> Proverry Address' <br /> Existtn Land Uses `A �r. <br /> On-Site Uses(Include Ag Croos l: (l l� �t L C ij C. <br /> Uses W the Nam: <br /> Uses to the Ea V. L -- <br /> Uses to the South: r <br /> Uses to the Wast �' <br />