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" `ti APPLICATION - SITE APPROVAL <br /> N �< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r..�-�,.w FILE NUMBER: SA-PIT\ 1 / 0 0 0 4 6 <br /> �%PORN _ <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ( � �( YL� Name: r I <br /> Address: b(ZAddress: <br /> 9 t� �d- <br /> Phone: 2 -0 <br /> PROJECT DESCR PTION <br /> Proposal <br /> Description of the proposed project: 6 <br /> 0 <br /> Business name(DBA): <br /> 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 development is-an addition to an existing facllit ,only list the additional Increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> >Q- <br /> Materials/Equipment Used <br /> Describe equipment used in the projeci-(include the number of automobiles,trucks,forklifts,etc.): <br /> JU'5T- r F/ ' <br /> Describe materials produced,stored or used (all hazardous materials should be include/d): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Propp�erty Size Number of Parcels Project Size Williamson Act Contract <br /> j75 8 o 07 ❑Yes o <br /> Property Address: 16 1N (, <br /> Existing Land Uses <br /> On-Site Uses(Include Ag'Crops): ��v�1 <br /> Uses to the North: wwvl � �r/v� � �/ n <br /> rt <br /> Uses to the East: �m a?-F6 tk' Ger vvPI 1J� <br /> Uses to the South: 6:iA & <br /> Uses to the West: M6 I LYA�9&L_ <br /> FADEVSMPlanning Application FormslSite Approval.(Revised 02-03-10) Page 2 of 9 <br />