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��rN <br /> APPLICATION - 6ITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �'• P <br /> FILE NUMBER: SA- <br /> PA — 07001 1 <br /> 4� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: J A is Name: '_DA U ii A rtA v <br /> Address: Pel g:>7c S"7S Address: V <br /> Phone: QA _ �, Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: KIIC CJ Sr'C E S-Z;t-A )K <br /> Business name (DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees (Number) Customers per Shift Vehicle Trips per Shift <br /> 1 <br /> Materials/Equipment Used <br /> Describe equipment used in the project (include the number of automobiles and trucks): jj p tj r) oT-4KL -rjj4 l <br /> C.0 S-t <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> v -D7o _ ( 32- 2- Ia 3.S�7Ac/4 - Z- � � � ❑ Yes o <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): j"A-t- L,, T <br /> Uses to the North: <br /> Uses to the East: A <br /> Uses to the South: <br /> Uses to the West: S,D RIA T'�A,l <br /> F.\DEVSVC\Planning Application Forms\Site Approval (Revised 1-3-03) Page 2 of 9 <br />