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APPLICATION — USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER. UP- - 2- 12 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Willi Name: ?�r, �9.. <br /> Address: Address: P.o. Box a333 <br /> CA g5a58 ; x 60 q69q1 <br /> Phone: Phone: aoq ) <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> be- <br /> ans 5 on -00,27) <br /> Business name(DBA): (.1n5'Q.'f" 11.Q, S <br /> Employees/Customers/Deliveries per Work Shift' <br /> '(attach additional breakdownlexplanation 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 Vehicles per Shift <br /> pon SLAG _ Fel 3-5 1 5 - 15 5 -" 1 O <br /> m- lr m Sur - FQi 3 -5 - 15 5 - 10 <br /> �t u2�� -1l D S+Aff veti c son l <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 /> I- elz and ojt bLiiVat - lies <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size I Number of Parcels Project Size Williamson Act Contract <br /> //- / - Vq -6ln- � g Yes C] No <br /> Property Address: ,�U /�- Lo o2 W`J-9 XVuXAj 2kAb212 <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: k ILAr S <br /> Uses to the East: <br /> Uses to the South: 5 I Q <br /> 1 1 11 <br /> Uses to the West: j <br /> F 1DEVSVCWIanning Application FomsWse Permtt(Revised 02-03-10) Page 2 of 9 <br />