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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- PA — 0700 ! 3 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner lnf rmation Applicant Information <br /> Name: ff11�� Name: <br /> Address: `I Address:'' f G j oy--' z) <br /> �k h e vi2J <br /> Phone: Phone: V5 l 'L <br /> PROJECT MSCF&TION <br /> Proposal <br /> Description of the Rropoped proje <br /> e-/ Ile- e 5 <br /> 0. rb� jA, /Kce-5,510 <br /> c-Y5 0q ID <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> n N <br /> MatertaWEquipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> M <br /> Describe materials roduced,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 /> ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: ". <br /> Uses to the East: W <br /> Uses to the South: <br /> Uses to the West: <br /> FACEVSVOPlanning ApWicalion Forrns%Site Approval.(Revised 1-3-03) Page 2 of 9 <br />