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r <br /> APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTnnMENTT <br /> FILE NUMBER: SA- PA 17 0 U I I <br /> 9�IFORP\ w <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Q,(YUn' Y7,Ytt'1P T2rkw Vk M\l�rnk� -AN, ame: <br /> Address: ao a t?" (QI(YI&I)o_ Address: C) <br /> StU(m)y1 , _6A • ci L_1riG �1rjZ3(o <br /> Phone: ,.,Lr X 2? - 2(ip Phone: Ztat - el - 2Co5Ao <br /> PROJECT DESCRIPTION pq - 955ta <br /> Proposal <br /> Description of the proposed project: <br /> -1u I Vze, 62.0 A <br /> Business name(DBA): 6 'fl <br /> tDescEmployees/Customers/De iveries per Work Shift* <br /> ; <br /> dditional breakdownlexplanation for each phase of development,seasonal production,etc. if applicable) <br /> f the proposed development is an addition to-an existing facilit ,onlylist the additional increases below <br /> Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> C �e �. <br /> Materials/Equipment Used <br /> ent used in the project(includethe number of automobiles,trucks,forklifts,etc.):\ \,k 0 nr tF 10 vl ti <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> 7T--"\ v iMn —'> '1 . <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> (:p 71 () - 2 ^ 2 20 .Co Qu ` ib 2 Yes ❑ No <br /> Property Address: <br /> Co (� C S Z <br /> Existing Land Uses r - <br /> On-Site Uses(Include Ag Crops): N l 0 <br /> Uses to the North: V V <br /> Uses to the East: AV" <br /> Uses to the South: Myl u <br /> Uses to the West: Lb& Imac. <br /> ROEMMPlanning Application Fons6Site Approval.(Revised 02-03-10) Page 2 of 9 <br />