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PA - 07001 ,.. <br /> n iaiyl <br /> APPLICATION -SITE APPROVAL <br /> ikic <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- Cpc 04.0,) 1q uj <br /> <iroa <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Ap Iicant Information <br /> Name: p or Name: 4�1�/Qlfod ✓1/ �� . <br /> Address: Co E6lf G,t/ dress: <br /> Phone: 3 — (0/3 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: Di <br /> /✓ S </G/ /Jdt1 DJ/G <br /> Business name (DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> O / <br /> YF <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> .S sup, r0 Beafs �4.�cFeS /tG .Earp/. E r ;vas �E �drG1F- <br /> Describe materials produced,stored or used (all hazardous materials should be Iden(fied): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 46US f ❑Yes ❑ No <br /> Property Address: <br /> os ✓F/t✓ A Existing Land Uses /-/p,sE <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: A4wos, &5jj,,Sj <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F\DEVSVQPlanning Applitalion Forms%Site Approval.(Revised 13-03) Page 2 of 9 <br />