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11-A - 01 - 32 <br /> APPLICATION - S7TE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> OwnroorinIon S Name: ICAppmatName: /J6( nfIL _ <br /> (D <br /> Address: / I_ 5s- C— w /�L Address: /]D-�;LO Q ,( IlJ6�rS OapDR, PI <br /> �L,-(TZA <br /> Lo Fb Cft Rsd3� C4"t a�sa� <br /> Phone: <br /> Phone: �((0 a-y0( <br /> N SE rrf <br /> PROJECT DESCRIPTION <br /> Pro osal <br /> Description of the eroposed project 1e- NBCA <br /> C<sNsis I or WKfb E 0- TWA[, <br /> =(DBA): <br /> Em to ees✓Customerser Work Shl7( �'f�' "'.• <br /> Shift Hours Days of the week Employees Customers per Vehicle Trips per <br /> (Number) Shift Shift <br /> MaterfalslErtuiprheni Used .. /• ; <br /> Describe equipment used In the project(Include fire number of automoblles and trucks): b NE <br /> Describe materials Eroduced,stared or used(all hazardous materials should be Identified): A/0*6 <br /> V 6 <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Pro ert In7ormalion <br /> G �?ssessor Parccl Numbers) Property Size Number of Parcels <br /> (� / Project Size Williamson Act <br /> Contract <br /> 3 v� ❑ Yes O No <br /> Property gddress: <br /> Existing Land.Uses •" <br /> On-Site Uses(Include Aq Crops): <br /> sE 6Y\-- <br /> Uses to the North: Y1 <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West Y I\C <br /> z 24 w , ay- d <br />