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APPLICATION - USE PERMIT <br /> `r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i' <br /> r/ FILE NUMBER: UPPA- 130018- <br /> %FORN` <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: P-)SF10RC- 5F/74STe/ Name: 1KAm <-i-rgoCF /}AS%IC/ <br /> Address: 3 88 Sc- E- L XtI7 tri&,c-- <b Address: 392S C Z14,HT h7MC— RA <br /> Lops CA qSa o D / 4< 9 541 U <br /> Phone: LO _ S / $ —q/L I Phone: Z V r S / — / Q / <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> Business name (DBA): <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 I Customers per Shift Deliveries/Other per Shift <br /> Tb / <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the rjjmber of automobiles,trucks,forklifts,etc.): <br /> b <br /> Describe materials produced,stored or used (all hazy ous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> o 57 _ / b — z 3 5e ee- $G C� Yes o <br /> Property Address: <br /> Existing Land U s <br /> On-Site Uses (Include Ag Crops): L <br /> Uses to the North: F7 1E [ �. ©(,� <br /> Uses to the East: E( [-7"&yY L <br /> Uses to the South: L1k4Aj JfQ S E <br /> 42 <br /> Uses to the West C HES IC-3 — f�cSvr� 4L — fjw.� S� A&I <br /> F'.\DEVSVC\Planning Application Forms\Use Permit(Revised 02-03-10) Page 2 of 9 <br />