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<br /> APPLICATION SITE APPROVAL
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NUMBER: SA-JA, t o 5 6 0 a-2
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<br /> M, 4; .T,O:BE G°OMPL ETED BYTHE=AP.Pd_'ICANT PRIOR TOFILING;THErFi4PPLlCATION �r
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<br /> `t���.�s„ ;�,��_, "„ � Own(3rinformation� �`��5, � �4 ; s sr ��s -�- Applllcant informatron�� �r `�'��-�,��z„ �a:•
<br /> Name: ~G �1 3 1 , frl�lltsr✓d .Name:
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<br /> Address: O t SOK S' Address:
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<br /> Phone: D Zia –J ZZ-2— Phone:
<br /> a• .. 4 �'` ..°., : :�. ... :� t I?ROIECTDESCRIPTION !; �, x,;�' <rj �r4x�!� � °�n_s 3:y,` ��"�r a 3 n
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<br /> Description of the proposed project:
<br /> �Lpp� a(3� ✓� ��lf r��� ,/� ��� ��C�l Gam- ��J
<br /> rf3usiness name(DBA): 5;4e6 srLl—' si,oeZ,41;8
<br /> EirtployeesICustomers per Work Shift
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<br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift
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<br /> Materials/Equipment Used
<br /> Describe equipment used in the project(include the number of automobiles and trucks):
<br /> Describe materials produced,stored or used (all hazardous materials should be identified):
<br /> PROPERTY AND VICINITY DESCRIPTION
<br /> i Property Information
<br /> Assessor Parcel Numbers) Property Sizeumber of Parcels Project Size Williamson Act Contract
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<br /> Property Address: c,
<br /> Existing Land Uses
<br /> On-Site Uses(Include Ag Crops):
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<br /> Uses to the North: �24ZC f/<'-4 1'151LrtO 1ortJ Y4iZ,4�,
<br /> Uses to the East: V cGs T(2aG GGGG/1dGy1fC� /L(:/'f<(Z
<br /> Uses to the South:
<br /> Uses to the West: Z (J SAG.
<br /> F:IDEVSVC%Planning Application FormsGte Approval.(Revised i-3-03) Page 2 of 9
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