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P4°'N APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Q: t <br /> FILE NUMBER: SA- 11 6 <br /> Q�iFORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information <br /> Applicant Information <br /> Name: <br /> k Vw42u1� E' C 0A, Name: 4,,A vt Lo <br /> { ,^n` <br /> Address: 0,0p, - IAY�LYIL <br /> Address: (al`.�3 L G1Zv 94C S'dt)- <br /> Phone: <br /> Stoc1(�n C . L—A I oclLfr <br /> f Phone: �J5—t111 a65 <br /> a�K' Y�(-a 6 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: ( <br /> c�Ve✓ c GE k� nc � ec.s ,lbw <br /> yl oh ba l�`� teN k� It Ut)J fiz '10,000 � <br /> l, ^ alb ad 16 a►d a— ao t blb 3- ao to ria .�4+5 ti ao 6f <br /> _Business name(DBA): V k� ftJ <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdownlexplanation for each phase of development,seasonal production,etc: if applicable) <br /> NOTE: if the proposed development is an addition to an existin faciltt , onl list the additional increases below <br /> Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Shift Hours Days of the week <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): B�, I y �I <br /> L a t ui ^( <br /> Describe materials produced,stored or used(all hazardous meterials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 0 4— c)av --o° I .1 <br /> � 2Yes LINO <br /> Property Address: <br /> Existing Land Uses <br /> h/ <br /> r4 c M �. <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: V((,V 1�} <br /> Uses tothe East: W u l 11 K <br /> Uses to the South: P il,(Q} <br /> Uses to the West: vlio co <br /> F:\DEVSVC\Planning Application Fonns\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />