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APPLICATION — USE PERMIT <br /> bpi <� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> • FILE NUMBER: UP- ?A 18001. 77 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name; K Name: N <br /> Address: . Pal Address: PUA lare 5 <br /> F.w:nch Cam CAI5 <br /> Phone: 510 - 535 - 6rZ Phone: y 5 - 19 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> 0 <br /> "Y-) <br /> e • e <br /> to <br /> Business name(DBA): <br /> Employees/Customers/Deliveries per Work Shift' <br /> '(attach additional breakdown/explanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an existing facllit ,only list the additional Increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> 1 <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> WA <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> N I A <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> :11:33 - 22© - 15 5 Acres 1 5 Acres ❑Yes M No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): 2 ° <br /> Uses to the North: <br /> ses to the East: <br /> Jses to the South: <br /> Uses to the West: S. 23ia2d Road <br /> F,DFVSVCTlammng Application Forms\Use Permit (Revised 02-0310) Page 2 of 9 <br />