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APPLICATION - SITE APPROVAL <br /> { SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .� FILE NUMBER: SA- <br /> cJ�ii'� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: / J .j 0 Name: � c jjvcJ <br /> Address: C'p_ T Address: e' <br /> G' F r' <br /> Phone: Phone: u�, _ f _,Z <br /> PROJECT DESCRIPTION <br /> _ ;v Proposal <br /> Description of the proposed project: / Z '!2 'e 'Al :f Z1 <br /> T S'i 6 z /L '1f sv'/` �/L/sem l• <br /> GHJ <br /> � F T C'c� rJIL/2 rL r7 .ST©i? /X- `!9 ♦�'� <br /> ✓� <br /> Business name(DBA): Q' t ! f7,-,r <br /> EmployeeslCustomers/Delivories per Work Shift" <br /> `(attach additional breakdowntexplanation 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 Customers per Shift Vehicles per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> A-";- _ -'7 Ln <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 /> ❑Yes allo <br /> Property Address:z 4tir9 P <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: W L Av <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: ,T 17 oz <br /> FADEVSVMPIanning Application ForrnslSite Approval_(Revised 02-03-10) Page 2 of 9 <br />