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PA 12 00006 <br /> o� N APPLICATION — SITE APPROVAL <br /> " -' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> N: L <br /> .c4.,•. .,..�P. FILE NUMBER: SA- <br /> �rFO'nN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Appl- a Information <br /> Name: md2 r1LlA 8 Name: <br /> Address: pts f Address: 4 -WF �/ 5/-sr 2,37 <br /> Nl `f O <br /> Phone: Phone: '0401• — <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: ` 4 4p 40r- 1 r-I-A.QC4410 <br /> to t� \n o d <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 I Customers per Shift Vehicles per Shift <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) Size Number of Parcels Project Size Williamson Act A PropertyContractt <br /> I q - ', 2 Z 277 C 11 /3� r 23 El Yes Lyrvo <br /> Property Address: L{j S, W qq :6 M d <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): $ ,, L b iZ R L <br /> Uses to the North: <br /> Uses to the East: L <br /> Uses to the South: ' r;o <br /> Uses to the West: }� <br /> FA)EVSMPlanning Application Fonns\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />