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n0 U r/y <br /> °. .C, _ APPLICATION - -6ITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 7 0 1 <br /> FILE NUMBER: SA- - <br /> ('qCI F pRdP �. <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: .3 n, (-,o,;/&(--- Name: -'DAJ ii- L,-,A6z>riA o <br /> Address: '0 2)Z,X ��� Address: i) bz c �o�1 <br /> Phone: _ t Phone: E> —Zif 7 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: W f> f= Sit,QAC F dYF� <br /> Business name (DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> 0 1 Z- <br /> Materials/Equipment Used <br /> Describe equipment used in the project (include the number of automobiles and trucks): 00 IJ[Z c'7-4i IL rtl�a,; <br /> C v S�r ci <br /> Describe materials produced, stored or used (all hazardous materials should be identified): r.J �.. <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> '419 3.5-7/tc to . ❑ Yes No <br /> IF <br /> Property Address: <br /> Existing Land Uses <br /> On-SitEUses (Include Ag Crops): 11Jv r��r ^t(0 <br /> Uses to the North: <br /> Uses to the East: �1 i►� L <br /> Uses to the South: <br /> Uses to the West: S D z' T L- <br /> F:\DEVSVC\Planning Application Forms\Site Approval (Revised 1-3-03) Page 2 of 9 <br />