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APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ 001 1 <br /> FILE NUMBER: SA- �. <br /> <rr•n <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: Kt4 <br /> Address: 2 (p�j `f( �p. Address: PO, Q� <br /> c� sz O 2 <br /> > Phone: Phone: ' 2 j <br /> C--- PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: j �� < ( �ti ( (, Pi <br /> E G r C., ck U G U (. r & Q�� <br /> a, ! ,\ t- r `� 105 P L <br /> Q> ft&P 1 O tCIX22 <br /> Business name(DBA):C t7-'z' �'�Q 1L,,, `� oyc-- <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 existinb facility,only fist the additional increases below <br /> )("k <br /> ift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> UJ\ ' PM 2 <br /> a+�- 5Pf�t T1k�S� (1.l . Lo <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> 1� EF <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 I Number of Parcels Project Size Williamson Act Contract <br /> 0 — ,'-O— 06C-- l ❑Yes No <br /> Property Address: 2$�O� �U'Re WT 1 — /hQ -01J C <br /> Existing Land Uses - <br /> On-Site Uses(Include Ag Crops): IV <br /> Uses to the North: <br /> Uses to the East: ,0' <br /> Uses to the South: G <br /> Uses to the West: A6 <br /> F:\GEVSVC\Planning Application Forms\SileApproval.(Revised 02-03.10) Page 2 of 9 <br />