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♦ Aqutry <br /> ' . APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> o* FILE NUMBER: SA- <br /> 18 0 <br /> 00 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information <br /> Applicant Information <br /> Name: or v( Name: <br /> Address: j1 Address: <br /> A <br /> Phone: —t / Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> Business name(DBA): <br /> Employees/Customers/Deliverles per Work Shift <br /> "(attach additional breakdown/explanation for each phase of development, seasonal production, etc. if applicable) <br /> NOTE: if the eroposed development is an addition to an existing facility, only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> 02— o <br /> _ P <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): , 10 �0 2 <br /> fa r <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 00 7 !'n - Wz Ac r S 1 j.3 /{tri 5 I ❑ Yes WNo <br /> Property Address: ),?J10 C JU/l a� i <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: ,J <br /> Uses to the South: <br /> Uses to the West: c <br /> F:\DEVSVC\Planning Application Fonns\Site Approval.(Revised 02-03-10) Page 3 of 10 <br />