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APPLICATON -'USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> toonol <br /> FILE NUMBEFF L <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner information Applicant Information <br /> Name: kName: 1- <br /> O <br /> Address: Address: <br /> t <br /> Phone: 2 Phone: zQ% <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> r ( 1e S I e em ,y QCT R,1 <br /> Q d @ ziD- eel <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 /> 11 GIDh a es 40 -A- . $ - <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> N _ . <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> 4 PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 2-oS- 110 — /01 ASUte, t I !d X q0 I 91Yes ❑ No <br /> Property Address: ZOO. f¢ A.. , -L Q . <br /> Existing Land Uses <br /> On-Site Uses(include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: /Q 1{/ Ive rs <br /> Uses to the West: <br /> R OEVSMPlamming Application FormsWse Permit(Revised 05.11-09) Page 2 of 9 <br />