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" Kl� <br /> APPLICATION - SITE APPROVAL <br /> Z1 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA <br /> Q�1FORa <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: 5Q Name: S M <br /> Address: Ln O P t 'ri4 Address: <br /> CANDO C A `t62-5f <br /> Phone: 2-("q '4 j P I ' Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> �'IV��T�" 'JAVL W-- hi <br /> -; I. Ca-A L' -Z:4T I - - v <br /> CL)NA s`(a,, Pt L- <br /> tap <br /> Business name(DBA): 4, s r2 <br /> t �� or.�i; <br /> Employees/Customers/Deliveries per Work Shift' " <br /> Fattditional breakdown/explanation for each phase of development,seasonal production,etc. if applicable) <br /> the proposed development is an addition to an existingfacilit ,onlylist the additional increases below <br /> Days of the week Number of Employees Customers per Shift I Vehicles per Shift <br /> NA <br /> Materials/Equipment Used <br /> nt used in the project(include the .number of automobiles,trucks,forklifts,etc.): <br /> s 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. o <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): d NI— <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 02-03-10) Page 3 of 10 <br />