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R <br /> APPLICATIONSITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA-- PA - 070 Qy * 0 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> -Ownon of rma on - — <br /> —A-p-pZ ant-n"46rmation -- <br /> Name: T Ain �Q, Name: = 'y' FiTE <br /> Address: '75-- S s Address: <br /> Phone: I Phone: <br /> PROJECT DESCRIPTION_____.___ <br /> -`Proposal <br /> Description of the pro osed proje <br /> e Oh <br /> G h 4- IhPSS <br /> Business name(DBA): _ <br /> i <br /> yeas/Customers per Work Shift <br /> Shift Hours Da the week Employees(Number) Customers per Shift V hicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe a ment used in the project(include the number of es and trucks): <br /> Describe materials produced, stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 19 <br /> _03 L 9 El Yes No <br /> Property Address: WAO vaji6a ('T 61 2S;-LU <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: V: C T✓ it <br /> Uses to the East: csiQk!aQeo <br /> Uses to the South: qk <br /> Uses to the West: e <br /> FADEVSMPlanning Application Forms\Site Approval.(Revised 1-3-03) Page 2 of 9 <br />