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z <br /> 4U1" APPLICATION - SITE APPROVAL <br /> { SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �. FILE NUMBER: SA- ff -! '00 2C:0 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant information <br /> Name: }AQr'ron Q Name: P <br /> Address: rp�CACJ W/ Q' o.. Ill. Address: WQ - <br /> %) -uCA h-\r,,N-C CR a 5 <br /> Phone $c S- 0a.1� Phone: <br /> - <br /> PROJECT DESCRIPTION - - <br /> Proposal <br /> �I <br /> ?�escripfion of the proposed project: . <br /> fIli o r . { <br /> Business name(DBA): <br /> Employees/CustomersMaliveries per Work Shift* <br /> '(attach additional breakdownlexplanation for each phase of development,seasonal production,st¢- If applicable) <br /> NOTE: if the proposed development is an addition to an existing facility,only list the additional-increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> It- <br /> Describe materials produced-,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 9ItU - l07 RYes ❑ No <br /> Property Address: <br /> Existing Land Lases <br /> On-Site Uses(include Ag Crops): A11r+Gn <br /> Uses to the North: 0960 FSS\U Fo 2TEI <br /> UsestothaEast AvMo?o 'r-IEkt, <br /> Uses to the South: pl,Wlors o 1 S-lam <br /> Uses to the West. AL a t� fS.EUD <br /> F:\DEVSVmPlamingApplicationFoms\Site Approval.(Revised 02-03-10) Page 3of')0 <br />