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a°" ' - APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .too-: <br /> FILE NUMBER: L-A - 0 5 0 0 2 4 0 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: <br /> AL <br /> Address: Q Z(�.,AK.D.4�4 Address: y-�„ 1 1 <br /> V` ter q6A.06 i <br /> Phone: Pie: <br /> PROJECT DESCRI ION <br /> Proposal <br /> Description of the proposed project: <br /> 1 I i = N D 13 <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> 3 ' p <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materi s produced,stored or used fall hazardous materialsgsuld identfied): Lsk W <br /> ill he- <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 0 v ❑Yes No <br /> Property Address: i <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: <br /> Uses to the EastCAa 2 t f' <br /> Uses to the South: <br /> Uses to the West: <br /> F:0EVSVC1PIammng APPI"tion FomswU Pe"R.(Revised 6-03-04) Page 2 of 9 <br />