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oP4° ry APPLICATION - SITE APPROVAL <br /> " SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ��Foae14'•� FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> - Owner Information Applicant Information <br /> Name: - Name: <br /> j.c <br /> Address: r�� Address: v�0.Y1 �C:� <br /> � ]-, . <br /> Phone: Phone: O Z — (( rj <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: SIC � _ <br /> S�P_fv eZ- G <br /> Business name(DBA): Ck. 0 e r i c, <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 /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> C c�L_ <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> i Assessor Parcel Numbers) 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: ,JO It e , <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F:0EVSVC\Planning Applica0on FonnslSite Approval.(Revised 02-03-10) Page 2 of 9 <br />