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APPLICATION -- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> IPA - <br /> FILE NUMBER: SA- <br /> 66002 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Inf—madon Applicant Information <br /> Name: i" q a .FU - G i�° Name: MOM K.SEIBEL <br /> Address: tj Address: LAND SURVEYOR <br /> 2 221 WEST OAK STREET,SUITE B-2 <br /> Phone: '"14-7 - 8! ¢ Phone: LODf,CALIFORNIA 95244 <br /> PHONE(209)334-6523 FAX(209)334-2611 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Desai on of the proposed ect: <br /> nill o eG }S Iov a, 31-00 So, EL Bu IT Are+i eL oe- <br /> a <br /> uS as c- he, m PoraY GSL' S Mf5- GLr e? <br /> a <br /> ' u oa <br /> Business name(£?BA): <br /> Employees/Customers per Work Shlft <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> .NZA <br /> i <br /> MaterialslEquipment used <br /> Describe equipment used in the project(include the number of auto obiles and trucks): <br /> S fL!c. S a s 11 <br /> Describe materials used,stored or used(all hazardous materials sh uld be identified): <br /> NZA <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Inforrrradon <br /> Assessor Parcel Number(s) Property Size I Number of Parcels Project Size Williamson Act Contract <br /> 00I ' -Z-7-0r Z ❑Yes No <br /> Property Address: <br /> Z& 590— Q Existing Land Uses 0r ese- <br /> On-Site Uses(Include Aq Crops): <br /> Uses to the North. / <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: C� <br /> F:IDEVSVCVnanning App kMon FoonsMe AWW81.(ReOU4 603.04) Page 2 of 9 <br />