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A - 3 PA - 0300511 <br /> APPLICATION - OTE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT NO: SA-DEPARTMENT <br /> FILE <br /> 7,1777'777{r � , <br /> Tt)BE COMPLETED'BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> !, 1.�! w erinformati rmaio. <br /> 1 p,q ant_1nfq n <br /> Naive. <br /> ' 1 <br /> Address: Address: <br /> q S�. q6ckvonC <br /> .�� Phone: <br /> Phone: ' _ — 6 <br /> PROJECT DESCIPTION <br /> Descri tlon of the proposed Project., <br /> Business name(DBA) C r _ Q q <br /> Em to ees/Custoiers per Work Shift. <br /> Shift Hours Days of the week Employees Customers per Vehicle Trips per <br /> (Number) Shift Shift <br /> �. g. <br /> MatenalslE ui menti)setf I' 0 � .,rz k <br /> Describe equipment used In the project(include the number of automobiles and trucks): b <br /> F. c <br /> Describe materials produced,stored or used(all hazardous materials should be Identified): <br /> P140PERTYAND VICINiTYQESCRIPTION <br /> Property formation �; q•?. � <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act <br /> Contr t <br /> O Yes No <br /> Proparty <br /> FIRM- <br /> On-Site Uses(Include A Crops): <br /> Uses to the North: <br /> Uses to the East: f f s -\2 <br /> Uses to the South: r-o :r r' r t' <br /> Uses to the West: �� _ c <br />