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P4uIN c APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SIPA— 12 6 0 0 ® 3 <br /> •.�qCl F ORa`4 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: S Cih Name: L <br /> Address: D CSC-r2 IS <br /> Address: �o <br /> L Q V I <br /> Phone: 'LJ .' Z Phone: © 3 <br /> PROJECT DESCRIPTION <br /> I <br /> Proposal <br /> Description <br /> g'1, <br /> Description of the proposed project:, tE y �.- �—tr� _ -ir'�+V✓C �/Usi <br /> I upl o W n aG7t- AW 14I OUT G- I w o <br /> osr -C4 Y,IG- 8--04 FMQF 0J6M1+AN W Fa To AL60 C� <br /> P%L- ©-;r- 5X6579 ' 9Ch PE ^ -M r-f, MAS <br /> Business name(DBA): - <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 I Days of the week Number of Employees Customers per Shift Deliveries/Otfier per Shift <br /> Materials/Equipment Used <br /> Describe ui ment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> t �C1211CK t- DF-L.NF KY OF fit) LIDS <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 Project Size Williamson Act Contract <br /> "Prop!rty <br /> Q—Z 1 2 5 NG I Lot)T� j]Yes X No <br /> ss: I5 l7 1 _r L4WE2 S �NrD lzAi Lo ) t C <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): Zo <br /> Uses to the North: <br /> Uses to the East: t. L <br /> Uses to the South: 6 M MOZC,I A L <br /> Uses to the West: NCr-- <br /> F:\DEVSVC\Plannin9AppliwWn FO"S\SRe Approval.(Revised 024)3-10) Page 2 of 9 <br />