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02/06!2807 15:41 4082517711 0LIVERA FOODS IJAUE a2 <br /> 9 NJ iLVVI ,L- 1. rAA :Wd4k•V;; I �•1���l:UMIN_UEV �1G�d31�03 <br /> ...� APPLICATION SITE APPROVAL <br /> 9V1M.fDAQUIN GGUN'rY COMMUNfrV DEV ELGPMENT DEPARTMSNY <br /> '. j` PA - 05 00729 FILE NUMe9h: s� <br /> .0 sa Mp 9TED ISY TIi1:-APPrUCAN-T RPUQR TO:FILINQ.THF Duca*k, <br /> •5 <br /> Applicant n <br /> �- <br /> Name: D l I've rte-�u ar"1 Ll rr1'rtrd Rnr Marne: t <br /> Addrsee: 3� ti rru k Addreeg_ 3 3 <br /> j f <br />} Jnr: Phone: <br /> t <br /> P RC JI1110I'DEROMPTION <br /> Preposai ' <br /> t�tiertlptlor,of th2�ssd pmisct: Fa <br /> we �a�tearu az a r�ckin ►-aa <br /> I Arld 9_'s'p-54"rr -�031 1? fn RavedconA` lo- <br /> ror>-red aV&r <br /> — 27 �50 <br /> - off e r rr'ssrr, Q c. 'CJ Cooa d 'Z'7 S 8 5' vara► aa`FJavti ups . <br /> Business nsrne DQA). Q t b+ L L -_- <br /> -- •,..., Ernpioy WCusianuta per vlfarit Shift <br /> Shit!Haure Days Df the weak Employees(Nornber) Cus?owers per Shlft VshICiA T rlpa per&81ft <br /> b fJrf- � 5v K fly+ �►r� L41e� �• i Sr 5�'tr �c C a —'----�.,,. <br /> Matori,ieliiquiprnont Used <br /> Caescribe eculpment used in the project(Trtoluds Me nurwar of automobilee aod'.rucke): a r,e tf-4 �—o ice', iva c k- � <br /> --- <br /> Dt}scrioo materials producau,stoned or used(all hazerdou$materiels should be WeMlfbdy d,65ei •— u L- )� _ <br /> Ckrr, rk4 wr -� fi` P <br /> PROPERTY AND VICINITY MCPSMON <br /> Property Intormagon _ <br /> bAssosoor Parcel Number(&) Fropetty Sire Numbw of Foarcals Projw-t S40 �^ WlAlemson Act Contract <br /> 9 r-010-- � 1 3C► ,3 etc 1 — 7 Ar- , $Yea 0 NQ <br /> PrOpetty AOdret; !400(1- , [11R•• r+rf <br />{ _E>i4etlieE l.atnd Oars <br /> On-gate uses(Includa Ag Omps). ���r;,_ <br /> LUSeSto <br /> North; row C root? -QA,r rh 10� <br /> East �(7t-L., C rwSoukrA <br /> w"t i e r� <br /> F,ZFV3Vf-W hnRlh0 Apll wbfl 1±tlrtr Ole AwovwW.(N,eVA09 1.9-u31 Page of 9 <br />