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s APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- PA - 0600012 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> _ Owner Information Applicant Information <br /> Name: Name. - Alt�,4 L1111 —/(/ - i <br /> Address: 2 — HatjT S r Address: -1 4( 14417-7 <br /> N CA- S L S C.4 - SO <br /> Phone: Cf i� _ S Phone: o —5 - 75 30g <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> 0.k <br /> a S . w L , <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 /> 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 /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 4 � - ,5ZO - 'J 24'Y _I .A 0 1 ❑Yes No <br /> Property Address: 14 <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: I <br /> Uses to the South: l l <br /> Uses to the West: tl <br /> F IDEVSVCCPlannfng Application Forms\Site Approval.(Revised 1-3-03) Page 2 of 9 <br />