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4a, <br /> APPLICATION — SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- nRn nU 3 $ <br /> -�---- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: -l,t'b. + ..i'.-.+ 1\. -i d.1'...L Name: <br /> � U' r r-_D__1 C' , <br /> Address: PO L-ox 2 3 Address: PQ �•�X, l,Q <br /> La)( Cit, Lirvi CA q-3Z41 <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the propo Project: 'SN L !uJ t7%'� '=•r L= ��', )+a- 1- i>... !JLC_ <br /> ) _ ICv s ✓' h _a"J C' Uat. UI l � �.EYfA <br /> �JNOid � IU NJ( Ooh <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 /> i� A- UfA��`��� /•.r <br /> qaM- w — 9ig - m,?,A O <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> 5tN 11rJJ0(� ra►JSTrot, t ' PS <br /> Despribe materials produced,stored or used(all hazardous materials should be identified): <br /> f <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) TProperty Size I Number of Parcels Project Size Williamson Act Contract <br /> 017- 2-30-61 (LOAC ! 1 4G t Yes ❑ No <br /> Property Address: b I12 E. <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): Ip-1,ys(,r1(LiQ EF;- /.. 77 ( CA'-ri a) W(xytl 3 <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: Q E-q 'C <br /> Uses to the West: UIM ENA '. <br /> F:TEVSMPlanning Application Forms\Site Approval.(Revised 6-03-04) Page 2 of 9 <br />