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,� .° ul�y``� <br /> APPLICATION - USE PERMIT <br /> rSf JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 00 FILE NUMBER: UP- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: /' <br /> Address: ?141 e,r R Address: iww G &,14-hor <br /> Phone: - Phone: �b <br /> PROJECT DESCRIPTION <br /> Proposal <br /> f� Description of the proposed projectI , r <br /> 6 r In <br /> � µ - <br /> �v <br /> Business name(DBA): `y <br /> EmployeeslCustomers per Work Shift s <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> L- <br /> " .. Materials/Equipment Used . <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> ` Property Information <br /> .i <br /> Assessor Parcel I Iumber(s) Property Size [umber of Parcels Project Size Williamson Act Contract <br /> QI�:� (per 4 �fl� � �� El Yes <br /> No <br /> Property Address: : I x C <br /> E° { Existing Land Uses <br /> On-Site Uses(include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: ` <br /> Uses to the South: ; <br /> Uses to the West: t. <br /> ROEMCOanning Applidaftn Forms.XUse Permit(Revised 05-11-09) ��` ` Page 2 of 9 <br />