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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA - t <br /> c•.•_ �P <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information ' \\ <br /> Name: Name: 1 CIO (N� <br /> Address: 13 ` S° Address: <br /> r A 5 _ ql3�- Sacs C� A S$Zle <br /> Phone: 2eq 3(0— ? B Phone: _---2,9(y- 9 b-4 N.�✓< < <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> tole�� Q.s <br /> llyl <br /> o al <br /> Business name(DBA): ✓ �ay1 i✓ e SS <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 /> • � i <br /> PROPERTY AND VICINITY D SCRIPTION <br /> Property Information <br /> FAssessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> [IYes ElNo <br /> roperty Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: Lo-J <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F:\DEVSVC\Planning Application Forms\Site Approval.(Revised 6-03-04) Page 2 of 9 <br />