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° APPLICATJN USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �4tr��a '•� FILE NUMBER: UP- <br /> TD BE:COMPLETER:,BY THE`APPLICANT PRIOR TO FLING.THE APPLICATION <br /> Owneranformation Applicant Information <br /> Name: i ,y)a V00 Name: vy)Ik--, M,1LM,2,nJ IRE, <br /> Address: m o <br /> r <br /> 3 Address: U <br /> L <br /> Phone: Phone: 2a 7-- <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: S j 131 <br /> AD 4 54,, d a s 6 Cpm"1 Jf C c afir, H d ►�; e,- <br /> a;-, d �G� Cha gts <br /> duG <br /> T p <br /> P� Cl ` r b R <br /> Business name(DBA): 4 j 6OC, 6e,7} Y <br /> Employees/dustomers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> N H wee✓ One_. 2c+ wcr rs k a <br /> Wows h; <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 /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> �` <br /> [ 2s--33m-^ Z Z GAS 0&)r— 1�vS� El Yes Ga'No <br /> Property Address: 960 to 4— 95 t:_Y� d C f <br /> Existing LaAd Uses <br /> On-Site Uses(Include Ag Crops): C(Cq v h� <br /> Uses to the North: �, �, M ,V , ) �i5e rr)P1Y1 <br /> ses to the East: ud V)ct <br /> Uses to the South: Re-$ <br /> Uses to the West: 5-�� �d1�t, rY7TJ dc�c <br /> F:%DEVSVC131annin0 Application Forms%Use Permit.(Revised 1-2-03) Page 2 of 9 <br />