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QutN APPLICATION ® USE PERMIT <br /> �d• .c G <br /> N: ,• ` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ( :. <br /> FILE NUMBER: UP-PA 15 0 01 1 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: /`f1 , 5-14/Q LEy Name: V,�s AM ✓�'' <br /> Address: /S (, Address: yyQ F. Fa "_(T'ST <br /> Lot� cel —Z 6TH 6A <br /> Phone: Phone: —9 Zz- <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: �Q 'X J0 <br /> -FA-6 MC-rAt <br /> 'FUT-UP-6 EXP <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 facility,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> 2— 5 <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): <br /> s ti ['X�F-r -- s o2 <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Pro/peerty Size Number of Parcels /Project Size Williamson Act Contract <br /> Q�3 3Z W - -- � to ��6 tT ❑Yes No <br /> Property Address: F1ZE/-7cWF6T, 6R26kTOd (—A <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops):/ 'W.L4 Uw T'(ZV <br /> Uses to the North: X-04 .TA(__ <br /> Uses to the East: ,Q- <br /> Uses to the South: GHyoL <br /> Uses to the West: mm <br /> F\DEVSVC\Planning Application FormsMsr Permit (Revised 02-03 10) Page 2 of 9 <br />