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Aqury p 0 <br /> APPLICATION - SITE APPROVAL <br /> ?� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> N: X <br /> ``d •...:��;�P FILE NUMBER: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: �'.� lt• �at��. cA iz.�ra,ea�1� Name: j4�,'ct".-�t <br /> Address: ( 2 `&„��. LL Address (�.a 2 L t=. C c�•+s° r�4t <br /> `5 CSS n4. <br /> y <br /> Phone: . `-} Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: cotq 4 D x 1)-Z) G ' S Pcc <br /> (21, -ilk <br /> 7ti — I�n�� �,• �� ,y\. 1 ���GS��' �� 1'ii:�c ct� �c -:•tet _ <br /> 0;-4-4 C fi <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <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 /> Property Information <br /> Assessor Parcel Number(s) <br /> Property Size Number of Parcels Project Size Williamson Act Contract <br /> C�` `�• i-C� ..L O-e- I I <br /> ..F, Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): kA.)c: \v,..-;V <br /> Uses to the North: Q. c Lt <br /> Uses to the East: c�. <br /> Uses to the South: ►O„ <br /> Uses to the West: <br /> F\DEVSVC\Planning Application Forms\Site Approval.(Revised 04-13-09) Page 2 of 9 <br />