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APPLICATION SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ra•. 3- " FILE NUMBER: SA- i ki <br /> �rF Orth <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: _Lir �' V p Name: p G <br /> Address: // 06c9.IJd D,-',1v45 Address:3 <br /> T 2-Yz- O ! /Sv/o c?fttnc.r L <br /> Phone: ZC71c/ - 3 3 S- Phone: S -0 - q3/S' it <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> P- q 7y rr n4 ' ts' oS D 39 2-3 o 090 <br /> B - ossa 3 z`/ /�/,S 31 F aS0 L ' v 6 P c�Sv 3 Lc b l3 <br /> aP- osv3P,z eso qZ <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 /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Oil/ <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor roject Size <br /> Parcel Number(s) Property Size Number of Parcels PWilliamson Act Contract <br /> ©L5'-O3v -0 l4✓X 0 kC I 1,19AAr- A El Yes jAo <br /> Property Address: /SG/C7 E-z-'48rCPe-.e /Qa.g-e c®dl 61 190`s2-V-2- <br /> Existing <br /> 90's2-V-ZExisting Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: G' ")Of <br /> Uses to the East CQ 6 049' J <br /> Uses to the South: s 1-w T= Hai /Z xt @ oNq-a_ <br /> Uses to the West: <br /> F.OEVSVOPlanning Application Forms\site Approval.(Revised 1-3-03) Page 2 of 9 <br />