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pan= c APPLICATION — SITE APPROVAL <br /> C• <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 66 k.. FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ;- - „i z` Name: <br /> Address: ' Address: <br /> r cdt 77- <br /> 9041 <br /> Phone: Phone: /6' <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: 7 <br /> 14-h,_ 67/T-u c <br /> +r&t c (e fr,r <br /> Business name(DBA): ro 4",4, /., <br /> V <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> 6. - 6' <br /> Materials/Equipment Used <br /> Describe equipment used in the project (include the number of automobiles and trucks):; <br /> Z <br /> Describe materials produced, stored or used (all hazardous materials should be identified): i <br /> j 134 C <br /> PROPERTY AND VICINITY DESCRIPTION <br /> -. Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> _ � !!G Of Z ac_ ❑ Yes 9No <br /> Property Address: E".�5 66 11 r I ,l_ ; A'&i , <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops). <br /> Uses to the North: R (_1' <br /> Uses to the East: U-A <br /> Uses to the South: (� <br /> Uses to the West: I&n d'k F E y(,( e in <br /> F>DEVSVOTlanning Application Forms\Site Approval (Revised 6-03-04) Page 2 of 9 <br />