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- - APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA-- P A - 00- 444 <br /> � <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: P rig a 6 Name: ` <br /> Address: Address: Q-+1 <br /> R' <br /> Phone: — Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: btqhe <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Employees(Number) Customers per Shin Vehicle Trips per Shin <br /> Shift Hours Days of the week <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): `j <br /> Describe materials produced,stored or used (all hazardous materials should be identified):' ,� <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 Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F:TEVSMPlanning Application FormMSite Approval.(Revised 6-03-04) Page 2 of 9 <br />