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APPLICATIM - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c���tok��p • FILE NUMBER: Up A - 0"r7 n-0-2 2 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Y�� '— 121�?�E!2 Name: <br /> Address: Address: �J <br /> Loch CH <br /> Phone: Phone: L <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: e m I " G --/ • c s- s <br /> I _ , <br /> Business name(DBA): L(ns <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> M - - - Gw ooz 15 <br /> Cj Lu <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> YL , r <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> r h ) I <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> i ❑ Yes No <br /> Property Address: ?U, ( ' <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): i la( ©c, <br /> Uses to the North: VC -5 k <br /> Uses to the East: kjouses <br /> Uses to the South: <br /> Uses to the West: LJ <br /> F\DEVSVC\Planning Application Forms\Use Permit (Revised 1-2-03) Page 2 of 9 <br />