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I RECEIVED 12 I S Fl-� <br /> °Ao�uiIY• APPLICATION <br /> — SITE APPROVAL <br /> MAR 12 2015 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT FILE NUMBER:SA DEPARTMENT <br /> ' ENVIRONMENTAL HEALTH I M 14 0 0 4 17 <br /> • c�`�_'�"`�`�`� r��R9dITrCt_r��n('�Q _ <br /> �IFOR <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: -t Name: M� <br /> Address: t Address: 'Q, <br /> ci� ST inn <br /> Phone: z0 — ©St l Phone: ,2 <br /> PROJECT DESCRIPTION PE <br /> Proposal <br /> Description of the proposed project: fmg , ' <br /> CJ*' <br /> -Am Cow <br /> Business name(DBA): A{ 6, �. L <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 facilit ,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 /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> �� B►hlS �.t1�5 � � <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> C)49 no-it 1(a.4p ��l3Ci i ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): �)a5 I G P cw L( -� �IAFazex � <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> FADEVSVOPlanning Application Forms\use Permit.(Revised 02-03-10) Page 2 of 9 <br />