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APPLICATION -- SITE APPROVAL <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> TO <br /> ATO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information I Applicant Information <br /> Name: . V1 Name: - <br /> Address: Address: <br /> r <br /> Phone: `, Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the p posed project: onry <br /> '/ G1► t„ S •e. y., l air <br /> w- �rJ tZ-�S C ar <br /> Business name(DBA): � - <br /> EmployeeslCustomers/Deliveries per Work Shift* <br /> "(attach additional breakdownlexplanation for each phase of development,seasonal production,etc. If.applicable) <br /> NOTE: If the. ro osed development is an addition to an existing fac ity,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> I _ <br /> Materials/Equipment Used C. <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): 2_ <br /> Describe materials produced,stored or used(ail hazardous materials should be included): i <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parceis Project Size Williamson Act Contract <br /> Cj'Yes ❑No- <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): . <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: lei <br /> F:MpEVSVCrPlanning Application FormsMB Approval.(Revised 02-03-10),' = ' Page 2 of 9 <br />