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p4UIN APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • c9. �: �`P.. FILE NUMBER: SA- � 1,6 <br /> ��FOR <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: A2 � lU Name: A2c , N i <br /> Address: , �/' I ,} Address: (3 , . <br /> Phone: ( 63 9- 52 32 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: ZQ y 16 s .d1C "�Z i Ud <br /> �Y <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 /> Noi,i r <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> M -gym L S <br /> Describe materials produced,stored 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 /> /_`(' 2 J5 „i° /13 5 2 0-'V- --141 -59- ❑Yes ❑ No <br /> Property Address: 36 t. 2 <br /> S.�i� <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: j�,�1 K� <br /> Uses to the East: 7A 1 o4i <br /> Uses to the South: ?ja;1_K"U c--, <br /> Uses to the West: ti 4, <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />