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°per c° %wool APPLICATION -SITE APPROVAL <br /> � y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> l FILE NUMBER: SA- PA a U 5 0 ® 1 9 119 <br /> c•.• f <br /> C,FOR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: F�Vj) al l I KL Name: On <br /> Address: P 1"; e 1# CF- 141-, Address: <br /> Phone: (LIl1")3�t�-ZZI 3 0), ? "Cr I"-: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: 1 u <br /> Business name(DBA): PC <br /> Employees/Customers per Work Shift <br /> QShift Hours pp Days of the week mployees(Number) Cu `ers per Shift Vehicle Trips per Shift <br /> UPtYI-lFj'1 � NIQl-' C <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> A,C C, C; I CZLAn <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> i„it_`1Lt" _ , i �I I"A\1=�11'`.►�Y:,ICt' �►Utct , CTelll� Lj 1 1111{"1"!'�:Z C'. , �II'eA`�L <br /> _—PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size I Number of Parcels Project Size Williamson Act Contract <br /> ❑Yes No <br /> Property Address: <br /> EX ing Land Uses <br /> On-Site Uses(Include Ag Crops): �zlA Z-- <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: I—I'nwl � Rod <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 1-3-03) Page 2 of 9 <br />