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APPLICATION - SITE APPROVAL <br /> y�l� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- PA— 12 0 0 0 3 <br /> �1FOR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information I Applicant Information <br /> Name: v%eX, n e;Z Name: <br /> Address: '43 m AS Address: <br /> r.. 212- 7j <br /> Phon Phone: <br /> PROJECT DESCRIPTION <br /> Proposal �^ <br /> Description of the proposed project: n v 0 <br /> Business name(DBA): LOS O- 6f, e S <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 existing facilit ,only list the additional increases below <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 /> r <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 /> •F3 %3 —! t' oo >4 fr <br /> 2 L. 12 a 1 2 ` 2-2-C - Q Yes 1%No <br /> Property Address: ' 7,7, ' E (. Z <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: hr - <br /> Uses to the East: Na <br /> Uses to the South: Np 1 <br /> Uses to the West:. ?- { - <br /> ROEVSVOPlanning Application FormsVSite Approval.(Revised 02-03-10) Page 2 of 9 <br />