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r $ A - 99 ' 6 5 <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: SA- - <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner/lnformatlon p �4ppllcant Information <br /> Name: rS E tJ p�� Name: <br /> Address�7' h�XS6 /l/ ts( Address: <br /> Phone: /7(� Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: / <br /> Business name(DBA) . <br /> Em io ees/Customers per Work Shift <br /> Shift Hours Days of the week Employees Customers per Vehicle Trips per <br /> (Number) Shift Shift <br /> Materials/Equipment Used <br /> Describe equipment used In the project(include the number of automobiles and trucks): <br /> 1\10 <br /> Describe materials produced,stored or used(all hazardous materials should be Identified): <br /> C) _ <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act <br /> Contract <br /> �c� f — ` 1 //� C ❑ Yes "o <br /> rpr.,perly Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: E <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: E <br /> t <br /> 1 1 <br /> s <br />