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1 APPLICATION -' SITE APPROV <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- PA - 05 000 0 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> [Address: <br /> e: (- Name: ; A <br /> i S , 'kk; ' On'�&-j pct Address: <br /> f .P" Ctsne: SCA el� —� 3 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: itis N N- XN � 0 c T <br /> C_ <br /> C_C-A - NA TG tZ <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 /> � q -I—\0th --ate 2.1 .3 IA 5q ❑ Yes El No <br /> Property Address: 0 •` ac;*�> <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: k <br /> Uses to the East: t2 — QR� <br /> Uses to the South: l._- O \A <br /> Uses to the West: `-N <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 1-M3) Page 2 of 9 <br />