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�� o0500841 <br /> APPLICATION - SITE APPROVAL <br /> En: SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER. SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: <br /> Address: Address: I <br /> LAt (a -e <br /> Phone: G' �, Phone <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project t At D V! <br /> 1�1 N c VV t�E <br /> INI <br /> V' .r <br /> klotmiku <br /> QOL1 <br /> Business name(DBA): <br /> E pl ustomers per Work Shift <br /> Shift is Days of thew Employees(Number) Customers per ift Vehicle Trips per Shift <br /> 'A% MonAli t <br /> Materials[Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): t <br /> S Ip Li vl,k :� <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> PR ERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> t D c2UZcr5 it t'Y 1 C�c L� Yes ❑No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): t �- <br /> Uses to the North: i !.l,, J k , v- <br /> Uses to the East: c t v J <br /> Uses to the South: AL+j i v4Ato/tv/j , <br /> Uses to the West: Ej4. <br /> F:tDEVSVC\Planning Application Forms\Site Approval.(Revised 6-03-04) Page.2 of 9 <br />