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°,• �tN. APPLICATION - SITE APPROVAL <br /> _ r.'• r-moi-'; .i <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • �' � � s 0 1 <br /> •• P FILE NUMBER:aa--�9Jr,- <br /> 0 2 2 <br /> ��FORN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Faith Community Church of the Dahlailmene / Lodi Christian School <br /> Address: 18621 N Highway 99 Address: PO Box 268 <br /> Acampo, CA 95220 Acampo, CA 95220 <br /> Phone: 209-333-7089 Phone: 209-368-7627 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: Private Pre, K-8 Elementary School <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 facilit ,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Monday Thru Friday 24 Students 195 <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe materials produced,stored or used(all hazardous materials 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 /> 01 322035 32 .63 Acre 1 DYes ] No <br /> Property Address: 18611 N Highway 99, Acampo, CA. <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): Church, School. Oat Hat to be Planted <br /> Uses to the North: AG <br /> Uses to the East: Equipment Sales / Highway 99 <br /> Uses to the South: Mokelumne River <br /> Uses to the West: Railroad <br /> FSDEVSVC\Planning Application Forms\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />