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�- APPLICATION -,,.)ITE APPROVAL <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />FILE NUMBER: SAP A" 0 6 0 0 6 4 7 <br />TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br />ner information — p cant information <br />Name: <br />Name:¢�0Q <br />Address: 2Z(-�, QU <br />Ft Address: S <br />C �� C -T-. <br />Gll% <br />20�!�I C1�'r <br />QS_ <br />Phone: Tj <br />Phone: <br />PROJECT DESCRIPTION <br />Proposal <br />Description of the proposed project: <br />— <br />1— CJ <br />s <br />Business name (DBA): <br />Employees/Customers per Work Shift <br />Shift Hours <br />Days of the week <br />Employees (Number) <br />Customers per Shift <br />Vehicle Trips per Shift <br />nAF_ <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) <br />rty <br />PropeSize <br />Numberof Parcels <br />Project Size <br />Williamson Act Contract <br />� <br />001 <br />❑ Yes ❑ No <br />Property Address: <br />1'1 <br />0_6 <br />Existing Land Uses <br />On -Site Uses (include Ag Crops): <br />Uses to the North: <br />Uses to the East: <br />L_0t <br />Uses to the South: <br />Uses to the West: tnr <br />--GQ <br />F TEVSVOPlanning Application Forms\Site Approval. (Revised 1-3-03) Page 2 of 9 <br />