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PA -06005 14 <br /> °psA APPLICATION —`SITE APPROVAL <br /> `•' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA-_ <br /> iFoa� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Appflcant Information <br /> Name. ! r GQ- , : Name.. <br /> �/ <br /> ir/G.� 144111 ,6e-, c,- ', <br /> Address: Address: u <br /> 'r cik+ 9 3 27 76" / -I`fa Ufa. e:t <br /> Phone: "Q g,jE, Quo Phone: 1A 9f 7 VyD& <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: %A, T - i� e ;,p WxR6 <br /> 1— a -606�r44L .oz <br /> f G <br /> ^fir • I Gtc ( ar <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours "Days the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Msterlels/Equlpment 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): <br /> f` <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> !!O • 09 7 u` I ❑ Yes OrNo <br /> Property Address: 65 <br /> Existing Lend Uses <br /> On-Site Uses (Include Ag Crops): <br /> 46,4 e— <br /> Uses to the North: RAd- <br /> Uses to the East: anon <br /> Uses to the South: (� G <br /> Uses to the West: <br /> F)DEVSMPlannirg Application Forms\Site Approval(Revised 6-03-04) Page 2 of 9 <br />