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•PA- 130 ® lsg <br /> APPLICATION — SITE APPROVAL <br /> a°�s•..o� <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: kAC. hl O Name: i .-OCl WrAZ &6,,Vr <br /> Address: QqS14 Address: tle_ <br /> a S ckrp-) C4 s�o <br /> Phone: oQ - L4 SIP - a,9 DQ Phone: �*©?' <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> ruc4 and Tai e.- ar Gin o e <br /> Business name(DBA): SF t S G <br /> Employees/Customer liveries per Work Shift' <br /> '(attach additional breakdowntexplanation for each phase of development,seasonal production,etc. If applicable) <br /> NOTE: if the DroDosed 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 /> cb- O - EM 10 <br /> MaterialsfEquipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Ir r)(:9 ! r5 <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> o E <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(tls) �Plroperty size Number of Parcels Project Size Williamson Act Contract <br /> 3z._0F©- © / %c. '.2 ©AW 190 J ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): I r uL.{L �Y01.1 Y YID- n <br /> Uses to the North: 1 AI D 05MI <br /> Uses to the East: [ND✓S r <br /> Uses to the South: //V D 77Z/AL ? _.C/ <br /> Uses to the West: IA'Pel '>rW q- 01G�-G/AL- <br /> F\oEVSVcIPlanning Application FormslSite Approval.(Revised 02-03.10) Page 2 of 9 <br />