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PA- 1 1 001 94 <br /> Aut" APPLICATION - USE PERMIT <br /> < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .� FILE NUMBER: UP- <br /> Ci#iid <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: n r Name: C <br /> Ad*21i ej 4 Zr e k a yck k,SLUjtA&. Address: 2-d `7 (a Hartilsoksam <br /> YYl <br /> C06, p r wi5 C <br /> c Phone D 7 4y <br /> Mctn fec CA '7 PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: C o 31,D,06ln";4d,�Lg on <br /> / <br /> 6 a ( . li bGo- <br /> s4awnag -f I -¢r�-, e <br /> C olij STV,ue .r vi o f K i e c� <br /> 11 Aof iam tA4,i ,zcrj e e► cLy , (This �,s rial o, o r <br /> Business name(DBA): <br /> Employees/Customers/Deliveries 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 fac lity,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Ad f1 IVIA All A IV IL <br /> Materiais/EquipmeM Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc,): IN 0 h P_ <br /> Describe materials produced,stored or used(all hazardous materials should be included): C.0yIg4r,Cq1 e n r-d_1a led <br /> Troy ry knd enokfee,c,(S4orc e <br /> W 01: 1nl ro <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 110 _4j 1 H . rl -42go S ❑Yes R No <br /> Property Address: 2.iaoio i <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): t errr Ale . 4 <br /> T�Ta <br /> 1 n o 00 S, r. e I e o S 2 F <br /> Uses to the North: ji rjc,�1 p <br /> Uses to the East: p <br /> Uses to the South: c <br /> Uses to the West: <br /> F,\DEVSVC\Plannwg Application FormslUse Pemt(Revlse 02-03-10) Page 2 of 9 <br />