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D <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- Lk"' 6 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicapt I forn3ation <br /> Name: X .33 me: S <br /> Address: I'nl?'i"�"G4v5 � Address: <br /> � D <br /> Phon 6C'x� Phone: ZOK21 .- <br /> PROJECT DES IPTION <br /> Proposal <br /> Description of the proposed project: <br /> g o <br /> U U E14 e f J r j e <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 /> S -7 7 - � 2 j <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> t2FEIC 1 D <br /> Describe materials produced,stored or used (all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> X1 ; - 1Cv0— z f�, 5 12faq, I 12 ❑ Yes D<o <br /> Property Address: rr 2 <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: ppml-�,L- <br /> Uses to the East: ` ZO <br /> Uses to the South: Mo� C7 —r✓ <br /> Uses to the West: Q C ,� <br /> F\DEVSVQPIanning Application Forms\Site Approval.(Revised 1-3-03) Page 2 of 9 <br />