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Old A6 � <br /> . <br /> u 1 �,� <br /> SIN -- APPUCATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> •�4 _ \p� FILE NUMBER: SA <br /> ,C`Jpppt� - <br /> - <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner.Information <br /> Name: Name: MONTE K.SEIBEL <br /> <•- �' �" <br /> Address: / '� r LOG Address: Land Surveyor <br /> 221 West Oak Street,Ste 132 <br /> C 5.L Lodi, Ca 95240 <br /> Phone: Phone: �2 C G) 7 c/G) <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Nf1 Description of the proposed project: <br /> os�x /, ` Services,' S cra c o Z- 0 <br /> ry ks 7 ru, le1- p 6,w5 <br /> p_ Cr i G <br /> - <br /> �v � <br /> Business name(DBA): <br /> Employees/Customers/DeIIVerles per Work Shift* <br /> '(attach additional breakdown/explanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: If the proposed develo ment is an addition to an existing fac lity,onlylist 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 /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels CCPrroject Size Williamson Act Contract <br /> ' SOC' 114e— f.' Yes ❑ No <br /> Property Address: /Z L c9 <br /> Existing Land 6ses <br /> , <br /> On-Site Uses(Include Ag Crops): C� r <br /> Uses to the North: <br /> Uses to the East: Ac• <br /> Uses to the South: <br /> Uses to the West: c <br /> F:\0EVSVGNPlanning Application FornnslSite Approval.(Revised 02-03-10) Page 2 of 9 <br />