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<br /> '°mac APPLICATION —` ITE APPROVAL
<br /> :< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> •`c� �:. FILE NUMBER: SAVA. 5 0 0 3 69
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<br /> Name •y. 5 Name
<br /> Address: .` 4.
<br /> Address I
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<br /> phone Phorie _ ,�
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<br /> Description of thepioposed project:
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<br /> Business name(D A):
<br /> IYfploe> IustQmeraer�lllorlc Shift e imf'r.r r �;,"`-s x..,�'k.' e' ,',grr,�' r��(( ��•"' f'! f
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<br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift
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<br /> -Materials/Equipment Used.
<br /> Describe equipment used in the project(include the number of automobiles and trucks):
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<br /> Describe materials produced stored or used(all hazardous materials sh-A be identified):
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<br /> PROPERTY AND VICINITY DESCRIPTION.
<br /> Property Information
<br /> Assessor Parcel Number(s). Property Size Number of Parcels Project Size Williamson Act Contract
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<br /> Yes No ►
<br /> Property Address: }
<br /> Existing Land Uses
<br /> On-Site Uses(Include Ag Crops):
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<br /> Uses to the North: p�
<br /> Uses to the East: o rn ? a
<br /> Uses to the South: v
<br /> Uses to the West:
<br /> F:IDEVSVC1PIanning Application Formsti5ite Approval.(Revised 1-3-03) Page 2 Of 9 `
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