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° APPLICATION - SITE APPROVAL <br /> �. ...�. •.oG . <br /> y / SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- P A ® 0 5 0 0 6 <br /> 4�)FpRa <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: ' 1 '`•y <br /> Address: 'L 7K 4L,i Address: 11 1 5 ) <br /> C C 1'N <br /> Phone: �7,po l L� Z— Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> c j-) o -1 FT D t_ `H <br /> o F=vr� N-I/"Jj� MouN � N� <br /> Business name(DBA): C 1 wC�i�1C S I_ JC r�Fl Qsl� <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> I lzvCf� Pow W )D P&k.-e : N, i moi_ oN <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> V' ' d d' l Cl ❑ Yes [:] No <br /> Property Address: 2 7`�:;4 ,v jM t—cv q rZ C) <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F:\DEVSVC\Planning Application Forms\Site Approval (Revised 1-3-03) Page 2 of 9 <br />