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APPLICATION - SITE APPROVAL <br /> Hi < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT �D7EPARTMENT <br /> ;p FILE NUMBER: SA- PA 1 / O O 1 O 9 <br /> ••iFORi' <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: V' Name: p�*,i,Z> M e <br /> Address: 6 �( A\"C Address: 22 C Y .4 I� <br /> - fir. C 4' C✓ C/a 4 v.o A <br /> Phone: (?,V (D $ °n" Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: e- X p 9—)L U � et"I o <br /> 214 4-ruc,k5 1y rL2 s-l-s u I I -1 -0 'a-. <br /> nn F L 11 14 11 a-i vim <br /> DO S OK 15i e use 4OFr <br /> Business name(DBA): <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 facilit ,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift I Deliveries/Other per Shift <br /> V 6Mer,�a V <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 /> t) <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size L Number of Parcels Project Size Williamson Act Contract <br /> /13 ®b M , ,20 V4 IS E 1 L113 At. ❑Yes 2kNo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): 77®L <br /> Uses to the North: — Q� <br /> Uses to the East: <br /> Uses to the South: m B® <br /> 11 Uses to the West: J� — <br /> F OEVSWRanning Application FonnsG4ite Approval.(Revised 02-03-10) Page 2 of 9 <br />