Laserfiche WebLink
1 opQu(H <br /> s,arv�OaPPOCADON _ SITE <br /> COUNTY COMMUNITY DEVELOPMENT PP�OV~� <br /> DEPARTMENT <br /> FILE NUMBER: SA P A - 050028 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE <br /> Owner Information APPLICATION' <br /> Name: �'bl'/�A/v 05F Name: �N <br /> Applicant Information <br /> S p� — <br /> Address: 2If 1SS 4) 1A.1 �v� <br /> Address: [� <br /> va GA 95�2o ki <br /> r_ ovE <br /> Phone: <br /> P:on�e. 3 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> y� O ENT dK AT Iry G S a ��v r <br /> ,is s PSH g� was <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> tmaterials <br /> Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> sed in the project(include the number of automobiles and trucks): <br /> I2Dees duced, 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 /> �l�c3 3 9 1C� El Yes [I No <br /> Property Address: 2 �� N• 9 C� �5��O <br /> Existing Land Uses <br /> Utee (Include LC <br /> orth: rJ 6S-r*.O 4aast: T outh:est: w L <br /> F\DEVSVC\Planning Application Forms\Site Approval.(Revised 1-3-03) Page 2 of 9 <br />