Laserfiche WebLink
APPLICATION - SITE APPROVAL <br /> " SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> rP FILE NUMBER: SA- PA 1 <br /> 600 172 <br /> �/FORS <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: A, Name: CV-A <br /> Address: .( Address: ZZ C-�Yav\ ip1 <br /> Gtr >275f_KFcv A <br /> Phone: C.'Z, Lf C1 Phone: Q0 y <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: f O 04,-�-� �.%C— <br /> rC( - Uc A� 2Y' .V' ' r <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 Deliveries/Other 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) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 4P O ^ ) I2°� ❑Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: — U <br /> Uses m the South: <br /> Uses to the West: A Q — tJ <br /> F:VEVSVCtPlanning Applimbon Forms\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />