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ECEIVED <br /> APPLICATION - USE PERMIT <br /> AUG 01 2016 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> p� <br /> RONMENTALHEALTH FILE NUMBER: UP-PA 1 <br /> PERMIT/SERVICES <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> nerInformation Applicant Information <br /> Name: G ! hjCa H Name: (fo CSR P $ j Q 6 H <br /> Address: !tj6—jq Address: q120 <br /> 6 O (o <br /> Phone: Zp — q&5- &0 00 Phone: 2 pq— — Co900 <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: jSELkJ gi L r—n t L) i iV <br /> EA G[C.I'T jNGLe STC buI Lo tN D E 602 i <br /> c ITnFo l ILL SZA <br /> F09- A4 0A[V S h YOA - Uc—gM LtuJ 'c- EAuS 7 <br /> A-CIL4 T <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 fac lity,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> 3(e 4AO-0% <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> POO l <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels (az <br /> Size Williamson Act Contract <br /> 12 — 2 0 - D 62 ( t'o �i OS s7 ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): — <br /> Uses to the North: r DEuTt tl L. T <br /> Uses to the East: I'¢ r EL/? <br /> Uses to the South: K� IQ G (� T <br /> Uses to the West: D l k) i A) C E Alm Sl✓JGV S <br /> F:\DEVSVO\Planning Application Foons\Use Permit.(Revised 02173-10) Page 2 of 9 <br />