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. APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENTDEPARTMENT <br /> FILE NUMBER: SA- PA 14000 1 1 <br /> fktiWa <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: ' <br /> Address: Address: <br /> Phone: —Q Phone: —036 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> f- 40t*m <br /> Business name (DBA): &OVAR SoLAA <br /> Employees/Customem/Deliveries per Work Shift' <br /> '(attach additional breakdown/explanation for each phase of development, seasonal production,etc. if applicable) <br /> NOTE: it the proposed 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 /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles, trucks, forklifts, etc.): <br /> NE- <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 Number of Parcels Project Size Williamson Act Contract <br /> ❑Yes ® No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Cropsj: <br /> 2 Tu 1 <br /> uses to the North: N o n1 <br /> Uses to the East: ALM <br /> Uses to the South: E <br /> Uses to the west: A L Mt , TR F <br /> F'0EVSVC Plannng Application Forms\Site Aptxwal.(Revised 02-03.10) Page 2 of 9 <br />