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0500851 <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> cr�ys��` <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information ��/ Applicant Information <br /> Name:f it TOVIII 17Ne1� a?hVL-R 11022 RA Name: ! ( <br /> Address: C 2 •_ L YINfAL Address: PD. <br /> r/ t CIA <br /> 1 ?`� �7 <br /> Phone: 6 �� C L Phone: f> _ i 2r <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project:' S ��( *::v l.r�/t'•�C" —f 1C <br /> �T�--- `, •i " C.. �"t'.;: �, o L.Q. -C� - .� ..t,;� t��� '`: CXR� ) <br /> .._ <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 /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <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 /> A 0 AC._ ❑ Yes D No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): 1-".kf� — <br /> Uses to the North: Ccs," M E C9( (r.`�'� <br /> Uses to the East: '('.I,at, <br /> Uses to the South: <br /> Uses to the West: ('Oc-Tr-t4�_.- <br /> i <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 6-03-04) Page 2 of 9 <br />