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SAN J OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> --COUNTY SITE APPROVAL/USE PERMIT <br /> Greatness grows here. RA2200243 <br /> FILE NUMBER: <br /> PRE-APPLICATION: ❑ <br /> Owner Information Applicant Information <br /> [Name:James Adams Name: Orion Outdoor Media <br /> ailing Address:824 Atlantic Street Mailing Address:3161 Cameron Park Dr.#221 <br /> Roseville, CA 95678 Cameron Park, CA 95682 <br /> Phone:831-682-6783 Phone:916-212-0243 <br /> Email:sales 9 scattrec.com Email:charles@orionoutdoor.com <br /> Applicant's Representative Information Design Professional Information <br /> Name:Charles Beck, COO for Orion Outdoor Media Name: <br /> Mailing Address:3161 Cameron Park Dr. Mailing Address: <br /> Cameron Park, CA 95682 <br /> Phone: Phone: <br /> Email:charles@orionoutdoor.com Email: <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> ❑■ Site Approval <br /> Type of application(check only one,separate applications or <br /> required for each): <br /> ❑ Use Permit <br /> Project Summary: Off Premise Single Column Digital Sign,Commercial and Non-Commercial Use,45 ft High, Faces are 14'h x 48'w <br /> (672 sq ft) as per code 9-1710.6 <br /> Will the project include more than one(1)phase?(maximum of 2 phases)Yes: ❑ No: ❑� <br /> Length of time(maximum of 5 years): 5 days <br /> Note:For questions regarding phasing,contact the Planning Division at 209-468-3121. <br /> Related Planning Application(PA)number(s): <br /> Is this application tied to another <br /> discretionary application? Yes: E] No: <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 005-143-02 25355 North Highway 99 Frontage Road Accampo,CA 95220 1.12 ac Yes: ❑ No: F!] <br /> Yes: ❑ No: ❑ <br /> Yes: ❑ No: ❑ <br /> Page 1 of 6 <br /> 0811312021 <br />