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APPLICATION - SITE APPROVAL <br /> w < SAN JOAQUIN COUNTY COMMUNITY DEVELPMENT DEP flT�F T <br /> ., ,..` FILE NUMBER: SAM 9d $ 1 <br /> `• TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: �jZJ.V4 V M e..4S Name: - <br /> Address: wS kf%t4 e Address: F6 I&OX i <br /> G t=aw Ga C C� �( <br /> Phone: 21> _ �-Z,3-7a Phone: Zoe p -C: 0 S I4.);4E5TN'P-e-M- <br /> PROJECT DESCRIPTION - <br /> Proposal; -' <br /> Description of the.proposed project: }-iv ntLv eau.\S-I1 N L,F S t�I4, t f S�d� °)SbJ <br /> R�kS YaNY� cep <br /> ooD P —o Str°r-Clore uhfLau» yp <br /> �4S 1 tr g—s-W W Y hiLL l N qctt�U�D 44 p S. . <br /> Business name(DBA): P�S Nr S <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 facility, only list the additional increases below ; <br /> Shift Hours I Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> 17 r- <br /> 12- Ib � ham 4� <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe materials produced,stored or used (all hazardous materials should-be included): <br /> WNA-rSL %gLS weuly F-ZLO1T Vt A o 'A UA Qro Z <br /> f v Caves .,e rMPr2 1 c� ra <br /> PROPERTY AND VICINITY DESCRIPTION , <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 2G�j 2 E] Yes No <br /> Property Address: 2•,2.`1 <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): IZV ?4-VA NSc 1;'h-w( s £/ k v.Z412 pC, Ex GASS1hT\DN <br /> Uses to the North: e:, 12C,4}4W+ -q) <br /> Uses to the East: 0 Q e--t 4 A 2'O <br /> Uses to the South: 12.oco Cr%� <br /> Uses to the West: b rsL>-C'u+ <br /> FADEVSMPlanning Application FomslSfte Approval.(Revised 02-03-10) Page 2 of 9 <br />