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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVE)P EN 8 OO DEPARTMENT <br /> FILE NUMBER: SA <br /> �FnR <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name:,/,,p- ;G M f.0. Name: Nc�At-( W t t.-moi <br /> Address: P0,. ', J00 'T Address: 6,09 )S-rra sT, <br /> tti , tt . -r Motes G4 . �I�35 <br /> Phone: a011- gJ'7-O S'6 Phone: - S-M- oil + <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: '30047J 5Q(-r WALA U7 <br /> fr h. 5 h Z) 3c9 roo 5 .)k'n ZZ <br /> Business name(DBA): <br /> Employees/Customers/Deiiveries 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 town existino facilit ,only list the additional increases below <br /> Shit Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> '9 <br /> -411 .h-i'(%3EZ /45n - 5 f' 1 - 3 <br /> Sw MaterialslEquipment 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 /> WC4(11(4 erl(. 'l in fT bin txrFztntG ^oB -S <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> a fi i9-av J 3 G,`t 1 4*2 Aclb 1. ❑Yes 3-No <br /> Property Address: J ( V"' Leh Y)VA/t '(, Trg C GrE 9 5 b <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: s ,!� <br /> Uses to the East: n, <br /> Uses to the South: <br /> Uses to the West• l w t ccr 'nA-X- <br /> RDEMCtPlanning Application FormslSite Approval.(Revised 02-03-10) Page 2 of 9 <br />