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OU�N <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: h+1 � �� ` r'l Name: Ohre SSE l � TkU V- e s� <br /> Address: 4 t-_k• "-V,-31r\ VaUff— Address: q ,-1 <br /> ��l�iL (L-co-y-\ 1 <br /> Phone: 3 1(Q Phone-. ,9,0 ? C(9 3�- /(, ' 7 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: " , i Ic { C <br /> 4- �. <br /> Business name (DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> L- I <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act C ntract <br /> L} �� <br /> . 3 '1 U'ft`J , _1 ❑Yes dNo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <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 1-3-03) Page 2 of 9 <br />