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00 168 <br /> - APPLICATION - SITE APPROVAL <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> •.d.,. .�� FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information �q Applicant Information <br /> Name: Name: <br /> Address: Q Address: ,Q <br /> r� a -,I I <br /> - LZO, ch 1-512-41 <br /> Phone0 �(D ! - Phone: 2, <br /> PROJECT DESCRIPTION <br /> — Proposal <br /> Description of the proposed project: jt, r Lir <br /> L�Zt� 60 SF = 4 O Gr <br /> E o i - <br /> � ) K I G t . <br /> N <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdownlexplanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an existing facility,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> s Mg*i - f7PA 2- <br /> 7AA4 - � <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 /> S Et o S - <br /> � ( L Ll <br /> PROPERTY AND VICI ITY DESCRIPTION. <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 41 1 p Z Yes ❑ No <br /> Property Address: k . P <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): CkIPS <br /> Uses to the North: V <br /> Uses to the East: y <br /> Uses to the South: <br /> Uses to the West: <br /> F\DEVSvinmanning Applioalion Forms\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />