Laserfiche WebLink
- c <br /> APPLICATION - SITE APPROVAL <br /> CoQ-.......�_ <br /> i < SAN JOAQUIN COUNTY COMMUNITY DEVELOPME T E T ENT <br /> ��GIFOR�,P <br /> FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner information Applicant Information <br /> Name: T iZ I C K C r A;GILL, Name: <br /> Address: ( 140 5'Te-2 V° Address: <br /> 1 C � r { 2 <br /> Phare: C_P — Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project <br /> Business name(DBA): <br /> EmployeeslCtistomerslDeliVeri per Wo&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 existin :facil on list itional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> c — tyVIA <br /> Materials/Equipment Used r <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> I <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Proc;;Size Number of Parcels Project Size Williamson Act Contract <br /> 1 L�jL Zo dFC!j j Cr/LJ� ©Yes No <br /> Property Address: <br /> Existing Land Uses <br /> i <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: K I C 4 L7{:*-ke 6' R_WP= Le jkr4fS <br /> Uses to the Fast: .. q <br /> Uses to the South: c 4 <br /> Uses to the West: .{ + <br /> i <br /> FADEVSVMPhnning AMPeaBon Forma to AppmvaL(FteWsW 02-03-10) Page 2 of 9 <br /> i <br />