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J <br /> pgU(N <br /> APPLICATION o SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- a <br /> �iFOR <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> �ry Owner Information Applicant Information <br /> Name: 4��5► ) �� Name: _ �U <br /> Address: -3 l��1 e r iL., y Address: <br /> -t OOa3, GA S" I <br /> 1 C'-/A- <br /> Phone: ® Phone: -� <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: ) <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 facility, only list the additional increases below <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 /> TYucy-S <br /> Describe materials produced, stored or used (all hazardous materials should be included): <br /> ce <br /> t <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ❑ Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: /JCg <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: �J`1ljQ L i i (�A� ► <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />