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- `� APPLICATION - SITE APPROVAL <br /> �•' < SAN JOAQUIN COUNTY COMMUNITY DEVELOP �T'DEPQRTMEWT <br /> .. P FILE NUMBER: SA- ,1i+rA ' Uri, n <br /> tN {QJ <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: u/S {1U OSS KV� Name: Csz cY214 <br /> Address: eL rp`/� Address: ^! <br /> ✓�.e0 r0 A� F / V7 <br /> Phone: u— & y Y7, Phone: a G V_ S-7 ? Q <br /> PROJECT DESCRIPTION <br /> Proposal �� �f <br /> Description of the proposed project: 4+ V/ X ( /O(Xx` <br /> b"il L. ^ 0" Alt^ <br /> Business name(DBA): <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 facilit ,only list the additional increasesbelow <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> Z � O ✓l'� li+Ll� <br /> Describe materials produced,stor d or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 7 V .5%f 'y 576 /YV y []Yes o <br /> Property Address: -% /z It > S ('a <br /> Existing Land Uses <br /> On-Site Uses(Include Ag/Crops): <br /> Uses to the North: C G yjv GCl <br /> Uses to the East: tA Cl �✓N�`^Ct✓1L� �+ �f!( CZr� 'lam <br /> Uses to the South: /h, (ICJ`) It it <br /> Uses to the West: S <br /> F:0EVSVC\Plann1ng Application Forrns\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />