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�.. aw <br /> - APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE_ NUMBER: SA- <br /> TO <br /> A TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information — <br /> Lae Byng&Bobbi Forsberg Name: Verizon Wireless Send Correspondence to Complete Wireless C/o John Y L <br /> ss 3966 E.Scottsdale Road Address:255 Parkshore Drive —_9343 Tech Center Dr.#160 <br /> Lodi,CA 95240 Folsom,CA 95630 Sacramento CA 95826 _— <br /> : Phone 916-812-0158 John Yu <br /> PROJECT DESCRIPTION <br /> --- Proposal <br /> Description of the proposed project:Wireless communications project. See attached project description for additional details. __. <br /> Business name(DBA):Verizon Wireless Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shit' <br /> na na na <br /> 24 Hr. 7 Days <br /> Ii <br /> Materials/Equipment Used — <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> One tr <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information ----.--- <br /> Project Size Williamson Act Contract <br /> Assessor Parcel Number(s) Property Size Number of Parcels 1 — <br /> 1 1,600 Sq..Ft. ❑Yes ❑ No <br /> ' oss-leo-oa 2.a acres - <br /> Property Address: 3966 E.Scottsdale Road -_- —� <br /> Existing Land Uses ---{ <br /> On-Site Uses(include Ag Crops): Residential <br /> rUses to the North: Residential ---- ------- --- ____ �, <br /> es to the East: Residentiales to the South:Agricultural <br /> USeS t0 the W@St: Residential <br /> =,DEVSVCkPlanrung Application Forms`.Site Approval.(Revised 6-03.041 <br /> Page 2 of 9 <br />