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_ S C(E Pr-VN--g 0PA, <br /> = � <br /> APPLICATION - —-- - -- - - <br /> �,- SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> \ FILE NUMBER: UP- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner information Applicant Information <br /> [ ' �, I Narne: �" ji .,�,i .1 J�i <br /> Address. <br /> i.. ,.. { i- �✓ ;.�..r- �'} "1 :._-z l..C��.-... Address; .... <br /> Phone: <br /> �.t _ r, ��,_4 l,��:1 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposs{d pro ect:- <br /> i <br /> 1 <br /> vA <br /> .J - <br /> .. � <br /> L.4, i{.i 1. a ��. �. r....�... �' <br /> Business name(DBA): <br /> EmployeerXustorners/peliverles per Work Shift' <br /> *(attach additional breakdownlexpianation for each phase of development,seasonal production,etc. If applicable) <br /> NOTE: If the proposed development Is an addition to an existing facilit ,only list the additional Increases below <br /> Shift hours Days of the week Number of Employees Customers per Shift Dellverles101her per Shift <br /> iy�. F ,��, ,1 1. :� {.✓ �� ��:' <br /> L- Materfals/Equlpment Used <br /> Describe equipment used In the project(include the number of autamobtes,trucks,forklifts,etc.): <br /> Describe materials produced,stored or used(all hazardous materials should be inckjded} <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers} Property Size Number or Parce, Project size Williamson Act Contract <br /> ❑Yes ❑No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses include Aq Ga s: <br /> Uses to the North: v' <br /> Uses to the East: <br /> Uses to Cite South; 4 (_ ✓` I i <br /> Uses to the West: t" <br /> FADEVSVOPlernrrrV Appbc l on FerMA U1se Perm[.(Revised 0203-10) Page 2 of 9 -- <br />