Laserfiche WebLink
PgU)M APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> cq. ,.�P• FILE NUMBER: v <br /> ® o9oo 97 <br /> �/FORM <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ; Name: n ,, �i G " c��•c«� <br /> Address: jQ l-7 2f/a s .n� Addres's/:p 041 ellv. io, <br /> Phone: Z Zvi - �f�r Phone: .1-C) �t y4_ j qC <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: 4 • 4--l",s�/. r,- A,v :( v C_-Nv- <br /> `L' Gf✓r��iV �� J `i C7�1 _�2 A �i�r�nU� /�� JGFfiJ� F<��✓a= //�%/dlZ�i' <br /> C r / dpi <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> \ I V ❑Yes 0 No <br /> Property Address: 0(-A 5 OKA_ <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F\DEVSVC\Planning Application Forms\Site Approval.(Revised 05-11-09) Page 2 of 9 <br />