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.� APPLICATION - SV Via' v4M- <br /> t SAN JO <br /> AQUIN COUNTY COMMUNITY DEVELOPTsD�YU � <br /> � <br /> FILE NUMBEPk <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: I cw t '0ar6 r0. CLc-+-z Name: 12X — CCeL-9-)— TFW^!c—k LL C— <br /> Address: d 1 ' on Address: 20L ev 369"Z <br /> CA 94317 r� 2� eA 9 115-9-3 <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> 11CO` ,, t brt r i n.1:d e__ ct qo' X Aill I44,.Ctcl- Cor.,. drrna . <br /> Business name(DBA): QCT 6riS F 6 <br /> Employees/CustomerslDeliveries per Work Shift* <br /> '(attach additional breakdownlexplanation 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.): <br /> .. C%'1 tra-F:rr%-C Ift L:cls ) — 'r 4-% .� <br /> Describe materials produced,stored or used(all hazardous materials should be included): <br /> e>LGle— al}I?rPt C0."�Yc� i r.S� �i a rv..cr. Ca wt,"f' <br /> CrS r . <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) mperty Size I Number of Parcels f Project Size . Williamson Act Contract <br /> a fid. d 4Cr / f 0 nT <br /> S . T . ❑Yes N'No <br /> Property Address: )SCT n se� 'Ek -A Trac- 29:17 <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): ral j; Zn ;0. <br /> Uses to the North: if r e' r e.& t++ ,_ A <br /> Uses to the East: rA% r-LX: A# , l <br /> Uses to the South: WVrVL rt Jt. c,+, 0. <br /> Uses to the West: L+( a.LQ <br /> F\DEVSVD\Planning Appliwhon FormsWse Permit.(Revised 02-03-10) Page 2 of 9 <br />