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E <br /> f <br /> a¢ .� APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �. FILE NUMBER: 5A- <br /> 00083 <br /> is f <br /> Td BE CdMPL£TED BY`,TFi1=:APi'LICANT'PRIOR TO 11`0 4,t APPLICATION <br /> 'buvnerinfamtatian Applicant.11rlfatntp�at!- <br /> y <br /> Name:Loj/ Name: <br /> Address: Y iv Address: all '-,b f1^ fsw <br /> *-1.312to 0104aeAXW, 201 <br /> Phone: Phone: <br /> PROJECT DESCRIPTI <br /> Description of the proposed project: ' 0 V <br /> Buil A Ina mal n c m i t Low-elsre <br /> Business name(DBA): LD iws —rhave i SAnp al3d (?Ain+eu &pm ArY `S <br /> Employees/ ustonrletWDeiiveries .. rWarlc'ShtflC" <br /> (attach.ad b kdowriiexpia atlon far esc!►phaale,oaf ldeveio melnt� teaaisonal piodu0it�n,etc If-xrppl[cahl� <br /> NOTE=1f the ro . seri cle�irglo iment`Is an addition to an existlin cili c I ilst. adiiitia a1 A 'reqs iow. <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> • " • &- . <br /> Describe materials produced,stored or used(all hazardous materials should be"Included): <br /> µ` pl. .PROPERTY AICD VICINITY i]FS RIPTit)N <br /> IsMl7or,y InfQr tlona}. <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 1 Z IN bn*1 12 aves t `} <12W '_' ❑Yes ®No <br /> roperty Address: M r4h (�� Q5 Z 2. <br /> FXisting <br /> F <br /> n-site Uses(Include Ag Crops): // <br /> l r T <br /> ses to the North: <br /> ses to the East: <br /> ses to the South: ' <br /> Luses to the West: <br /> k F:1 DEVSMPlanning Applicat{on FortnslSlle Approval.(Revised 02-03-10) Page 2 of 9 <br /> !I <br />