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2 ' APPLICATION - SITE APPROVAL <br /> < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Ow r Inf rma-o Applicant Information <br /> Name: me: <br /> Address: Address: Z <br /> Phone: 7 — — Phone: 7i — <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: -� <br /> t L A'f <br /> Business name(DBA): --.V61 - (A15&ZO.-JA JZxO r- P15 ) <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 Hoyrs Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> Materials/Equipmont Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Desai a mat rials produced,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> —Q _ 7• ikG 1 2= 1 ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): F_ fJ G— Q f—_ <br /> :T-:" <br /> Uses to the North: rrzsS <br /> Uses to the East: <br /> E <br /> e South:e West: <br /> F90EVSVC1PlamirpApplication FonnslSlleApproval.(Revised 02-03-10) Page 3 of 10 <br />