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o¢4UIN APPLICATION ® SITE APPROVAL <br /> ROVAL <br /> la " is SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �••.� .�P• FILE NUMBER: SA <br /> 190001 ? <br /> gG)FORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ED V Name: <br /> Address: E, S Address: <br /> •s•T-0 c cFN 7510S- <br /> Phone: 207S : (j 0 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: 1 :" h0OSGD V fF = 70 TQ, VT. W 1,T l <br /> o 'ro F foo o sQ F-T, <br /> o r7trl �o f P Ov e2v -s o <br /> Mo n 13o a <br /> Business name(DBA): g L_0 l= V/� LLE'\( _ R60 ir ( t-j <br /> Employees/Cu tomers/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 I Number of Employees Customers per Shift Vehicles per Shift <br /> 7 010Ca.t — P6CkQ IS <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> Li( a 'r t/ c S <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> l <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 143 - 11-10 - 3L leo' 110" I fZ1 Q 0 5Q. El Yes YNo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: (J Cy V'® 7. ry C e_ <br /> Uses to the East: s v <br /> Uses to the South: 9 O 3 —0 S 3 <br /> Uses to the West: <br /> FADEVSVC\Planning Application FonnslSite Approval.(Revised 02-03-10) Page 3 of 10 <br />