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%J0 ; 7b <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: SA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO:FILING THE APPLICATION�4 APP�LICY/ATION <br /> Owmlon forma <br /> "7=a Name: L Name: tion <br /> - <br /> - �- <br /> Address: s 5. 5- 55 Address: <br /> 04 SzifySzit- <br /> Phone: C'q) �16 Phone ZZ) <br /> PROJECT DESCRIPTION <br /> ..,.. <br /> Proposal r.'. <br /> Description of the proposed project: <br /> CIS <br /> �. <br /> Business name(DBA): <br /> Em to ees/Customars per Work Skiff$ <br /> Shin Hours Days of the week Employees Customers per Vehicle Trips per <br /> (Number) Shift Shift <br /> Materlafs/E ul rrient Used <br /> Describe equipment used in the project(include the number of automobiles and trucks):J <br /> Zklwo <br /> Describe ma rials produced,stored or used(all hazardous materials should be Identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Proper Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Willidmson Act <br /> Contract <br /> �to \-1 l "b fif3 -5rAicE 1 3 1 )< 'c5b ❑Yes ❑No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(include Ag Crops): <br /> i <br /> i <br /> Uses io the North: <br /> Uses to the East <br /> : u <br /> Uses to rhe South:- <P <br /> Uses ro rhe WesCf' _ <br />