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(IPA <br /> . 0900260 <br /> APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PILE NUMBER: SA- <br /> Q�JFpR� <br /> 1 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING,THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: W ' tiK 2 S�tSLti� L. T Name: O n P-1 <br /> Address: .aa-D'7S` ,�.#h�ixy (- Address: <br /> Phone: a r/. Phone: CC) V, e'31— <br /> PROJECT <br /> 1PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: -S eyket 4U;n e:'t (t j-N Ld faX4-1 r7d tj <br /> lrCccc^i;� ( vt v+c�C'o <br /> Business name(DBA): AegS <br /> Employees/Customers per Work Shift <br /> Shift flours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> < t t4 c L-; <br /> Materials/Equipment Used <br /> [Describe equipment used in the project(include the number of automobiles and trucks): ,(,� �i= -�jt PSS : e i u i 1n <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINfTY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> (.Oyqs: q et,,(,i i Ct C e Yes ❑No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): a C FS Pic 1L. reg k c(a.it'., <br /> l Uses to the North: S. <br /> Uses to the East: C �: •-C S <br /> Uses to the South: <br /> Uses to the West: j,U i Y-. z <br /> F;IDFVSVCWtanning Application Forms\Site Approvat.(Revised 05-11-09) Page 2 of 9 <br />