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l APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENTyo FILE NUMBER: SA- PA189 ©O9 " <br /> TO BE COMPLETED BY THE APPLICANTPRIOR TO FILING THE APPLICATION' <br /> Owner Information Applicant Information. . <br /> Name: 6'UC/ d1/JD1--FIQ / l !9/9 Name: tllf�2 <br /> Address: — LYS Address: PD. OvA 2,o7-¢ <br /> CA 7Z"e-4 A. 5336 <br /> Phone: fid_ 717 - 4003 Phone: t 2oR ) 3SIIZ.S'el5 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> —w O _ G'G C FR, c� �R9i o <br /> `c)v R Z-?�}, I C r 12 <br /> r> 4 rk 71itjG,/ - e <br /> C' T L.t - <br /> Business name(DBA): <br /> Employees/Customers/Deliveries per Work Shift* <br /> `(attach additional breakdown/explanation for each phase of development, seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an existing facilit , only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> C� <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> O z d <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> c, &Z 10✓ — I;—L <br /> PROPERTY AND VICINITY DESCRIPTION <br /> - Property Information -'- <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> Cf )- Q 4 ZSr 1�C5 ❑Yes J;KNo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: 1= <br /> Uses to the East: / o <br /> Uses to the South: p plFL,€rYD <br /> Uses to the West: oprr1 L/(/-)J�) <br /> F:IDEVSVOPlanning Application FonnslSite Approval.(Revised 02-03-10) Page 2 of 9 <br />