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4ul" APPLICATION - SITE APPROVAL <br /> Q. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ca. FILE NUMBER: SA- <br /> gGiFORN` s <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> 1Owner Information Applicant Information <br /> Name: LA L.Ci Name: T 2(S <br /> Address: P.O. ?ID/_16 Address: (07-05 <br /> C, 162 21 UtTk Rock ICA, }93 <br /> Phone: 2 24,n Phone: 6& <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> SF COIC09-E S <br /> E} Z04 too TO <br /> rW&La TE QfWN <br /> ` TR n uv SE_Q t14 e_Port <br /> Business name(DBA): ,f-qk - 4 .6 "r V <br /> Employees/Customem per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> 6 ,4 ,F — ! R 2f) <br /> O 3© <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> iE?I_ V t <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 /> 6 ,5 G ❑Yes 9 No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: j` F�.. 1CQUf."TIE2-( (20 <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the W est: KI ) <br /> 11 <br /> F TEVSVmPlanning Application Fonns\Site Approval.(Revised 6-08-04) Page 2 of 9 <br />