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'ate APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- PA 1 5o on 57 <br /> �/FORS <br /> TO BE COMPLETED BY-THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: --r"tf-1 Name: <br /> Address: Address: S3 Oki j—D <br /> L-0 C.Pr0� t 6q)� !�O <br /> Phone: Phone: 61 - LE R( - VJ <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project <br /> S E E rp us c <br /> Business name(DBA): g mE 6 2 F11a(Yl <br /> Employees/G:rstomers/Deliveries-per Work Shift* <br /> *(attach:additional.breakdowntexplarration for each phase of development,seasonal production,etc.. if.applicable) <br /> NOTE:; if the proposed development is an addition to an existing facili ,onl list the additional increases below. <br /> Shift Hours i Days of the week Number of Employees Customers per Shift Deliveries/Other-per Shift <br /> M2 n4 I <br /> m ret ir>itw <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> N meylf- <br /> Describe materials produced,stored or used(all hazardous materials.should be included): <br /> no fui z or otJ rvi rl S rot- - i r s <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Prop"Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> A CC C S FFGr ❑Yes [],No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site.Uses(Include Ag Crops): av M l <br /> Uses to the North: <br /> Uses to the East <br /> Uses to the South: <br /> Uses to the West <br /> F-.0EvsvG9bming Application rron Zite Approval.(Revised 02-03-70) Page 2 of 9 <br />