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Ph" 1400067 <br /> AQUI" APPLICATION - SITE APPROVAL <br /> �a'►.�,ec�.coG <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. _ �' �P• FILE NUMBER:SA' <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: rt Name: M <br /> Address: Address: ho, {, <br /> 1-04 t Ch. d <br /> Phone: ZQ S - v%tl Phone: 12 —` 2 <br /> PROJECT DESCR[PTION <br /> Proposal <br /> Description of the proposed project: Hk5f-o Val o GT SF Cam <br /> alfa► ! aVCL :rT-0 <br /> za NO SFr 6 FACIL47Y <br /> to !u- iwjyi96 <br /> TUr <br /> Business name(DBA): PaX <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdownlexplanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an exist in.9 facility,only list.the additional increases below <br /> Shift Hours Days of the week Number of Lmployees Customers per Shift Vehicles per Shift <br /> MaterialstEquipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> 2-() <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> Q3SIMS, WC951, f <br /> PROPERTY AND VICINITY DESCRIPTION <br /> P ro perty I nform ati on <br /> Assessor Parcel Number(s) PropertyA,(-Size NumberlIof Parcels Project Size Williamson Act Contract <br /> � + <br /> 4�" Z3o"it 16.to - I tF,� # El Yes KNo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): (8G P CV-; <br /> Uses to the North: <br /> Uses co the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F-IDEVSVC1P1anning Application FormsWse Permit.(Revised 02-03-10) Page 2 of 9 <br />