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OFgU1N APPLICATION m USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c p FILENUMBER: UP7_LA_3 <br /> 000f <br /> C/FpR� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: s/Q/V Name: S j 0 <br /> Address: /(J, tJ/S /�'D, Address: lQ,Q. <br /> L-a z� z Lod/ C- . Z <br /> Phone: 3 Phone: ZD /0 — /713 <br /> PROJECT DESC IPTION <br /> Proposal <br /> Description of the proposed project C#Z/j/Z C/./.S 4 X �A A/S/oA✓ <br /> 15b 'X Qo ' .SIMrc /ZE M T Ecy' o ' o CF5 ' oNF 'X f2 COP M, <br /> Wl rH Twe /2F5 0oMsME-N ' W101tM41 /c ' x /4/ ' .'eac <br /> x4'P�0o <� SD x 90 'S7TuC77,(A-'E= W11- L E /r15 c AC . <br /> 4_55I y 5 EA VicES <br /> €x/ 71_K. 143 20 #r 2 c 4,cm c IA/1 // /jowl ( <br /> Business name 1&4 La ,�JR/DC> C 010Ls !/" (f c /EI <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 fac lity,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> 00 - /SZ) 90 - c I& uclps <br /> .3c 444 4- <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> 1 <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> WZA <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project S¢e Williamson Act Contract <br /> 055-- 2 Z 0 — / c f2ES f y ❑Yes No <br /> Property Address: <br /> /'Existing Land Uses <br /> On-Site Uses(Include Ag Crops): / C Lo d' ZGGCS /� h <br /> Uses to the North: <br /> Uses to the East _ I7LUt Al LL <br /> Uses to the South: - /S r C ook 4�4C/,/ / <br /> Uses to the West: (� ,('Z. C'.Gli .Q/n �P a't.f !k/l i�c <br /> ROEVSMPlanning Application FormslUse Permit.(Revi 02-0370) Page 2 of 9 <br />