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� n1 - 40 <br /> APPL/CATIOAPS/TE APPROVAL <br /> SAN JOA QUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: SA- - <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> / Owner Information ,�1 ppl can Informatign <br /> Name: G(LST-A 1 MLA(S Name: ro„�(�L N Tcnw C0 Z q-A'r(0 t4 <br /> Address: UND, / �p/tT� Address: ��Z Bus I K�C_-SS Cl) DR-1ve � <br /> 5 e-14o, CA 61SFa-4 <br /> Phone: Phone: 16 qDa <br /> _ JJJ S. U 114 T-r7 <br /> PROJECT DESCRIPTION <br /> II' <br /> Proposal <br /> Description of the proposed project: W I L E LE co ok vt ,L,- i 1 C, lb ,4rc it,( L <br /> s'r J✓G <br /> OF 1,95 " 14CAbpote W I T /_'2 AWT-EwAtE o G E <br /> l/J l LL 1�E DES/ Cr Y ca n't- OrtTE Fu P-E CLLa,-,tT, o mi. <br /> Business name(DBA): <br /> Employees/Customers perWork Shift <br /> Shut Hours Days of the week Employees Customers per Vehicle Trips per <br /> (Number) Shift Shift <br /> Materials E ui ment Used <br /> Describe equipment used In the project(include the number of automobiles and trucks): 6►v <br /> Describe materials produced,stored or used(all hazardous materials should be identified): Nl�7 <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act <br /> �} Contraact <br /> ❑ Yes I&IVo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): V Re-5 <br /> &1-UsUses to the Norlh: C�K I L r-&1- <br /> Uses-to <br /> esto the East: / <br /> Uses to the South: / <br /> Uses to the West: t <br />