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APPLICATION — SITE APPROVAL <br /> a . <br /> y; SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA-PA 17000 <br /> 9GlFORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: t5riv7SD/J Name: T% atilt - *e' 41re*MJ L[. <br /> Address: 6joo C. Zd/O ST Address: 'Ovwf-o� Zav 4T-+10C <br /> s�ores QAL�X &Z acts mew, *-a- .01V 3� <br /> Phone: 'D • j/ Z •j Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> Aliw 4 too ar c a . W A41 a,4J2I5&-r-. <br /> ,ylsr'Nd IA71Ac PA17 EL X hy- /4--P4A7rP-V TD crzEia ,v zv <br /> /./Z A - S!>L oiroa rIvIspeWt5cr AAI el.7fAc EL TO <br /> FF V tiT <br /> Business name(DBA): Q LL-42 C45�(1«l4L <br /> Employees/Customers/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 fac lity,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> RETRIc.. 4;r624er- <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 /> 05/Z Q 1,� / 14/ / /./Z AG- ❑Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site <br /> as(include Ag Crops): <br /> uses to the North: QE /OC--Nr/QL - 2oA/Ed R-M <br /> Uses to the East: owj C-12el i- - Zo.NF-O <br /> Uses to the South: G 4 NMIL4Efjc/Gt L - 70NG0 L -r <br /> Uses to the west: C ohbWl L?LC//tC - ZONEh C- <br /> F:\DEVSVC\Planning Application Fonns\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />