Laserfiche WebLink
SAMPLE SITE ALAN ) <br /> USE PERMIT SITE APPROVAL & IMPROVEMENT <br /> PLAN A PPLIC TION (MH) <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: 90® ®.2 2 1 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> APPLICATION ® USE PERMIT <br /> [CHECK ONLY ONE] <br /> [SEPARATE APPLICATION NEEDED SITE APPROVAL <br /> FOR EACH APPLICATION] <br /> ® IMPROVEMENT PLAN <br /> Owner lnfonnation Applicant Information <br /> ,r <br /> Name: r r Name: <br /> Address; I / Address: <br /> d' <br /> 0 <br /> Phone: / - Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposedproject: <br /> r <br /> Business name(DBA): <br /> Em to eesYCustomers per Work Shift <br /> Shift Days of the week Employees Customers per Vehicle Trips per <br /> Hours Number Shift Shift <br /> Materlals/E ui ment Used <br /> Describe a ui ment used in the Proiect include the number of automobiles and trucks: <br /> Describe materials produced,stor d or used all hazardous materials should be identified): <br /> 411117' <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers Property Size p Number of Parcels Project Size <br /> Pro ert Address:. <br /> s <br /> Existin Land Uses <br /> / t <br /> On-Site Uses(Include Ag Crops); f 17 T <br /> r <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: /.�- �'�i• �`'i� j�" � � <br /> Uses to the West., �� <br />