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APPLICATION - SITE APPROVAL <br /> MAR 0 3 2017 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c, �a l�AI1RQNAAFJYTAL hF-ALl}•1 <br /> FILE NUMBER: SA- <br /> �rFOF� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: 'Q Name: G04/C-1 <br /> Address: C, VALCkhU 291A Address: C. 1-)1 4- <br /> N V qesak� S � �aj <br /> Phone: a t' _ Q � <br /> j_-1 ai Phone: U�_ _ 2 1 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the roposed project: <br /> t W v'a CK, <br /> S �l rc� YY`G�I fI encl-�C c+ Yc 1 Y- 2 S cio <br /> Business name (DBA): <br /> Employees/Customers/Deliverles 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 JEmployees Customers per Shift Deliveries/Other per Shift <br /> i <br /> {�/ 1" ,'Y <br /> rA- <br /> Materials]Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> 2C�r—•_% cx rA d 4 A4-c_A_'i <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> lb -OCO - ("3 S sI 1D"/ ❑Yes <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): cv� k\0 S. <br /> Uses to the North: Mirlwivva <br /> Uses to the East: S1 rC'5 J t rj to 1At*-cx <br /> Uses to the South: Kc" <br /> Uses to the West: Y\CU1 t got jG�l �-��'^ <br /> F:%DEVSMPlanning Application Fons\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />