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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- PA— 1280147 <br /> ql%F OR�`p <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name:V/ A#4 A. VA, O *#ttil• VA Name: 4i VAN& 144T �1. /44 <br /> Address: /e oft E_ e!&w4p6k Rd Address: /20J9 E. COiY17706/� Rir/ <br /> Sick o� 6A 9441si .StIGk A04 GA <br /> Phone: 240'• IV. 47-349 Phone: 407- 0/ -2(o.* <br /> R 9B0! �CVllib/! FjtA1� r/lwfb'� PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project <br /> A wu is/ t� iw/I Z- !4IMt.K t (400,0 /�' Ste¢E /a: loncnt tv <br /> AWA ad/s./ wvaiirt- ObAmf if hmirew6s .fwt . <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 facility,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees I Customers per Shift Deliveries/Other per Shift <br /> MV to AA r mw fief jd.,t/Ado1 .4 & / *a# AOOrt1o44/ <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,bucks,forklifts,etc.): 9490 AOOr-0,04MI <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 /> (!s9. Ob•*1 20i(es ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): %A/4r/W 4 <br /> Uses to the North: t A144A A AL 01W&4 /I =//* <br /> Uses to the East: 4~t% co- <br /> Uses to the South: &AIAU14 <br /> Uses to the West. tJ A14a <br /> F?DEVSVCPlanning Application Fonns\Site Approval.(Revised 02-05-10) Page 2 of 9 <br />