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COPYI SAN JOAQUIN COUNTY• • ,• • DISTRICT <br />2321 WEST WASHINGTON ST., STE. I, P.O. BOX 2009, STOCKTON, CA 95201 <br />t' 468-3470 <br />CONSTRUCTAPPLICATION FOR AUTHORITY TO <br />BUSINESS NAME: <br />-fflvok5 LgKl—�60 ama <br />MAILING ADDRESS (Include City & Zip Code): <br />NA <br />SITE AD RES <br />41=22 E lc <br />Is the facility located within 1000 feet of any K-12 school? Yes <br />.s the site address zoned properly for the proposed use? es / No <br />(INDICATE THE ZONING DESIGNATION) <br />is this application the result of a Notice of Violation or a Notice to Comply? Yes / No / <br />If yes, give the Notice Number <br />EQUIPMENT DESCRIPTION: <br />(Please attach additional sheets, if necessary.) <br />THE FOLLOWING SHOULD ACCOMPA14Y THIS APPLICATION: A MAP OF THE LOCATION OF THE FACILITY, <br />PROCESS FLOW DIAGRAM (if applicable), PROCESS/PRODUCTION RATE, OPERATING SCHEDULE, AND DESCRIPTION OR <br />MANUFACTURER'S CATALOG OF EQUIPMENT AND AIR POLLUTION CONTROL EQUIPMENT. SEE LIST AND CRITERIA (AB -884) <br />FORM FOR FURTHER DETAII-q- , <br />D <br />Signatur f Applicant <br />e2 _X, <br />2Ai2-'d LIV-Q.1L <br />Type or Print Name of Signer <br />ri7ln���J <br />Title of Signer <br />Telephone Number: ( �'�•3' w�' <br />(FOR OFFICE USE ONLY) <br />DATE RECEIVED: APPLICATION NUMBER <br />,-"" cukpy� <br />