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°RgU`M APPLICATION - -aITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- <br /> PA -0600 <br /> 9<�F�RN <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: /aAi C.Ht?-D e- AJ Name: / /! y =rte Kj4rya, Z� <br /> Address: 14 1 N , )710/?NDJ X: l� Address:2C't/ C010,121-5 G.)ay M0 4v (�4. <br /> L(J.r) G 5- '-'Y 2— <br /> Phone: <br /> Phone: 3 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: /lle w <br /> / /17 Mel,, Ci n a� 5 <br /> Q <br /> Business name(DBA): 3 J3 S T`-U, rLf &t)TO <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> 3 N /lrs i OF t&lti /'04 <br /> S 15- <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> AJtES2-Z L-7-Iit-50L_1,Av E-_ 01 L <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Z Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 4. <br /> j�t'1 \ / ' El Yes El No <br /> Property Address: ( 7 P 9 9 ;V , /1��R `31U C-1) - L-OJ) 1 I C --:� S 2`/� 2- <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: CV, <br /> Uses to the South: <br /> Uses to the West: RkN <br /> FMEVSMI'lanning Application Forms\Site Approval.(Revised 6-03-04) Page 2 of 9 <br />