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xqR ..I.. <br /> APPLICATION - SITE APPROVAL <br /> c 2 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPAR{T�Mr <br /> ;rto.:• <br /> FILE NUMBER: SA- PA A I g n n " `" 7 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Ow r Inf ma io Applicant Information <br /> Name: me: <br /> Address: Address: 2 <br /> Phone: z Q — Phone: 7i <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: /J <br /> r A-r OF <br /> Business name(DBA): Pl5L 1? > <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 Hors Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe ma rials produced,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Num: a(s) Property Size Number of Parcels Pro'ect Size Williamson Act Contract <br /> qIG _Q —4+ 1 ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> Onsite Uses(include Ag Crops): IF— 1J L A GIr— 0 *:F <br /> =I" <br /> Uses to the North: <br /> Uses to the East <br /> Uses to the South: 2 <br /> Uses to the W est: <br /> F:M3EVSV0PIa,vvq Appl"wn FOMSs Spe Approval.(Revised 02-03-10) Page 3 of 10 <br />