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T , <br /> c°c APPLICATION -- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i1Foa�' FILE NUMBER: SAM 1 ® ® Q <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION . <br /> Owner Information " Applicant Information":. <br /> i Name: Name: <br /> "j 0� ,1 v- L <br /> Address: Address: <br /> ` Qale, u <br /> Phone:.. -- ' Phone: d --- <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: ,(y tnv-, <br /> Business name(DBA): vyvuz 1 <br /> EmployeeslCustomers! liveries 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 facility,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> `011C <br /> MaterialslEquipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe ma tats 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 1 Number of Parcels Project.Size Williamson Act Contract <br /> `�^ Z_�-- G_ ❑Yes AO <br /> Property Address: <br /> --.,'.Existing Land Uses <br /> On-Site Uses(Include Ag Crops): czrsig—, Q YL.tZ�=k <br /> Uses to the North: <br /> Uses to the East: Z_ln•ta� <br /> Uses to the South: <br /> Uses to the West: LjN,—, <br /> Fa0EV5VCTlann1n9Application FormslSite Approval,(Revised 02-03.30) Page 2 of 9 <br /> i <br />