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AgUrN APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �•. a FILE NUMBER: UP-.PA 15 0 0 5 <br /> 4�/FORS <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: 4I.WSACALAG Name: <br /> Address: -50/0'9 U, C/7f *, ('_j_ Address: 3v e G— <br /> A 5' 36 i f S 3�, <br /> Phone: /1 S­2S-L 5­2S—LPhone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> Fig j0E- A f "y n veci- 1 <br /> Z �L <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 /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts, etc.): 011C_ — <br /> Describe materials produced,stored or used (all hazardous materials-should be included): <br /> S <br /> fl- s <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> "J-7 —a y c) - 610 - vo Q . �� � fel Yes ElNo <br /> Property Address: 0j '_7 C3 6 J <br /> Existing Land Uses <br /> On-Site Uses(include Ag Crops): <br /> Uses to the North: oo/ <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> FADEVSMPlanning Application Forms\Use Permit.(Revised 02-03-10) Page 2 of 9 <br />