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4�1ry a �- APPLICATION SITE APPROVAL <br /> .. <br /> - SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ FILE NUMBER: SAY A - 05 5 63 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ,�j{J A/ O30 [,L i/) Gs�.s Name: O !�. d C J` <br /> Address: .Z L L f Address: 3 a <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> G G <br /> Q S <br /> o <br /> Business name(DBA): IWA <br /> Employees/ r Work Shift <br /> Shift Hours Days of the week Employees(Num r) u ers per hilt Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> 5 4G O4,_40/_04 <br /> 4 i holeo <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> 11'5e— T G % B <br /> G O O O G O <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 . 0 )r—. / ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> NUses <br /> es(Include Ag Crops): <br /> e North: /l <br /> e East. - G <br /> e South: <br /> e West: <br /> FIDEVSVC\Planning Application Forms\Site Approval.(Revised 6-03-04) Page 2 of 9 <br />