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(�? <br /> APPLICATION - AGRICULTURAL EXCAVATION <br /> �t.CO <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: PA- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> rAddress:/-32�3 <br /> e: s� �r2A sa�Gt'� /QI/ST Name:r 1 rsl (ASS C. KE✓yN S w <br /> k/�LLaw 41-C4u teb Address: P.0.(�x ISoT115211 4�SUN.�Es,U C�a3 <br /> TaN Cr1 9510 Ci MoD 9'514(/ S /'bcKTeeo C.9 9S2 <br /> Phone:(Zo,'i) �-z - 1( v Phone: Z 3341T'2((1 (2 09 <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> Iql- 6 10-AY 174. ,-(oA -2 ,O'Yes El No <br /> Property Address: ( 3 GO WdCoW Glen ,f'� �STOC/C7&'J CA 952a4 <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdownlexplanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the roposed development is an addition to an existing facilit , onl list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> (.Am- 5:06 M - SRT 5 1�1. <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> F1(GAI/A7bik, W fiat ldA )E? In/A %2.oeK &ADE <br /> Describe materials produced, stored or used (all hazardous materials should be included): <br /> ME Aae1 AV 0 56L - COHTi1IAO EI) StoiR r C fai <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): rl44,0A/ GkOOAIb LSY7- <br /> Uses to the North: ff A Y - ,4411,Y <br /> Uses to the East: <br /> Uses to the South: lAq <br /> Uses to the West: <br /> F:\DEVSVC\Planning Application Foms\ Page 3 of 15 <br /> ,gricultural Excavation.doc.(Revised 02-03-10) <br />