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so 19 <br /> APPLICATION - SITE APPROVAL <br /> K SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> F• FILE NUMBER: SA-PIS — Ia0oa00 <br /> 4<iFOPN\ <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: L10 r V� L71 <br /> Address: Address: L-S' apen IQ-,, <br /> Ca - rJ-%GcOa Coll <br /> Phone: a09 9j' 98$ Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> r <br /> rl <br /> TN <br /> Business name(DBA): <br /> Employees/Customers/Deliveries per Work Shift' <br /> *(attach additional breakdown/explanation for each phase of development,seasonal production,etc. 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 /> 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 /> as ala J q C / /- � QYes C3 No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): 41yvioric5 <br /> Uses to the North: F. .. Slii0. <br /> Uses to the East: N rs Q <br /> Uses to the South: A L In ew✓r f-i i <br /> Uses to the W est: l rr•..j h i t <br /> F.,0EvsvC1Planning Application Forms\Slle Approval.(Revised 0207-10) Page 2 of 9 <br />