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�1 !? PA 1600179 <br /> °= cep APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. p FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: J,a,( pc Name: rte, I-I (v' ' C, <br /> Address: '1134kE. W44 17, Address: P.0 r (9 1 <br /> 1,00 44,0 itco (A �t 2d <br /> Phone: — ^[ 2j Phone:U.M 2J y — 332 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project go..cexTO &60 <br /> HEX- E fiU <br /> p tiC.ACc <br /> s 6E A 14s 6( <br /> W ` s� StAG� uCh <br /> Business name(DBA): rd.0 j. <br /> Employees/Customers/Deliveries per Work Shift" <br /> `(attach additional breakdownlexplanation 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 Number of Employees Customers per Shift Vehicles per Shift <br /> 14 <br /> MJd(L.k- <br /> -5 - �► 2® z <br /> MaterialslEquipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> COIPI WP h IN6 <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 0 — IQ I L 0 AC ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: 1 <br /> Uses to the East: t/— <br /> Uses to the South: <br /> Uses to the West: V lay. <br /> FADEVS=Planning Application Forms\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />