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r <br /> " ut` APPLICATION - SITE APPROVAL <br /> " SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> iV <br /> w FILE NUMBER. SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ` V\9 Name: ` <br /> Address: SBE) Address: S+. <br /> A C v\A CN <Iasi�& <br /> Phone: r Phone: - 2561 - 07AA <br /> PROJECT DESCRIPTION <br /> ---- -.._. Proposal <br /> Description of the proposed project: <br /> Business name(OBA): _ <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 fee 11tv,oniv list the addlUonal increases Wow <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> r <br /> should be Inc ud : <br /> Describe materials produced,stored or used (all hazardous materials <br /> PrOA-Qu ouv.- OAuS <br /> i <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ic/13- (6 es kNo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> u \k t <br /> uses to the N N rweqcl c_: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West <br /> F:IDEVSvmPlanning Application Formab511e Approval.(Revised 02-0310) Page 2 of 9 <br />