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qP <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER' SA- PA® i2 0 00 88 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ,- Name <br /> Address: M16(5 49/►26s Address: P& ax t57 <br /> m S�5 <br /> Phone: ,�`�} - Phone: Abd— <br /> PROJECT DESCRIPTION <br /> 5-0' Proposal yl,,' <br /> Description of the proposed project K %� <br /> h <br /> Business name(DBA): <br /> 7 Employees/Customers/Deliveries per Work Shift' <br /> ( '(attach additional breakdown/explanation for each phase of development,seasonal production, etc. if applicable) <br /> NOTE: if the proposed developmant is an addition to an existing fac fity,only list the additional Increases below <br /> Shift Hours Days of the week I Number of Employees I Customers per Shift Deliveries/Other per Shift <br /> ry�T � �• r <br /> Materials/Equipment Used <br /> [Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> G <br /> Describe materials produced,stored cWused(all hAzardous materials should bei ed): <br /> A) /� <br /> PROPERTY AND VICINITY DESCRIPTION <br /> At u 4 a Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ❑Yes ❑ No <br /> Property Address: <br /> ,.._{,„Existing Land Uses <br /> On-Site Uses(Include Ag Crops): eNt-4J4 <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F\DEVSvoPIanning Application FOR NSite Approval.(Revised 02-03-10) Page 2 of 9 <br />