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oPv�'N APPLICATION <br /> ..a <br /> Q` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DE ARTMENT <br /> FILE NUMBER: UP- <br /> • �-0<IFOFN\P • <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> amp llampc' <br /> Name: <br /> W-4Name: S <br /> Address: <br /> Address: <br /> Ig qSZ <br /> _ Phone: <br /> Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the prop9sed project: <br /> Business name(DBA): t �5,20 Ina <br /> - Employees/Comers/Delivsrie er Work Shift` <br /> '(attach additidnal breakdown/explanation for each phase of development, seasonal production, etc. if applicable) <br /> NOTE: If the ro osed do Ment is an addition to an existing.facilit , oni list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> 15 l0 <br /> � -5 3da -Fro t su <br /> Materials/Equipment Used <br /> Describe equipment,---H in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe materials p duced,stored or used (all hazardous materials should be included): <br /> i <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 0� ❑Yes bdNo <br /> lob <br /> Property Address: n - <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Craps): ►I1Q <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: - <br /> Uses to the West: 1U?Y1YCU-1 <br /> Pa e2of9 <br /> F:\DEVSVC\Planning Application Fonns\Use Permit.(Revised 02-03-10) g <br />