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<br /> APPLICATION - SITE APPROVAL
<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
<br /> FILE NO: SA- -
<br /> "Y '1431A ,kt .{J',
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<br /> Name: D - Name:
<br /> Address: Address:
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<br /> Phone: —�� Cp Phone:
<br /> y�_- ii�., f L.-. ,1,." dJ-. "�' "' 'S3++'.)x 54 n` o-{�Yr�q.,s ?ti u '3 ,.�+� $ 1�'�- ft"�L .t ✓�,,�r -� �tY r3�'t'""+'�.,K S�:t!H.�+.,;:b'u'.�A y�Yr.�i",
<br /> S,ah '.3„ x ,. •c�L A-,... �gynv�j, ria.eo t� k rltwi, w.F tis r. .y � x'� � T' x 3 t{�.its
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<br /> Descripponofthepro osed roect ,}
<br /> divar.t>I,,e4_ 1'- 00 C L t'f i D/.Vl TSI A-)�
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<br /> Business name(DBA): �P_6 S
<br /> f/1 ►I�l 'S'111. ':;J ,. tYr� ",`h. ..•Y uOx' •Fn
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<br /> Shift Hours Days of the week Employees Customers per Vehicle Trips per
<br /> Number Shift Shift
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<br /> i Tf. ' id e 1,�.''"9:MU<• �}4�; 4j ' 4^,� �fe�'�n,�y 4�.���1 ry:�3�:5^J�!4Y�L,. `�L ; 1 �1! Y� I Ir.,�{,�f''� lilt,
<br /> Describe equipment used In the project Include the number of automobiles and trucks):
<br /> Describe materials produced,stored or used all hazardous materials should be Identified):
<br /> ,RROP.ERTY AND.VICINITY DESCRIPTION.rel;� ``
<br /> a"ProDertvInformation
<br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act
<br /> Contract
<br /> 14 'L O Yes JNo
<br /> Property Address: . - t�
<br /> `v :+�r•.,P 7 t > M i` 4 a t W 7 3 y.y oy 4"r?' ^A If
<br /> -tW�, �2ttay 5 " Y .r,? d in .,'tl e �.I. �. l: r„ •1 , r �`r L
<br /> <,� St.
<br /> X" id1* .�.
<br /> On-Site Uses anclude Ag Crops): =t -_r)
<br /> Uses to the North: 1 .V y'r
<br /> Uses to the East:
<br /> Uses to the South:
<br /> Uses to the West: /
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