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APPLICATIONUSE PERMIT <br /> /z-, <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 04 7 f. <br /> FILE NUMBER: UP- <br /> 450 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> ('i=i*b7Oi' <br /> 4 <br /> Name: S4,.i- t Name: <br /> Address:'j17_7C)j S. CZF_&Vj-_ Address: <br /> C_\r! <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: A6 <br /> C F_ <br /> zs' <br /> Business name(DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> kj <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): 0 C_I,/– <br /> � <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> J"I CZ 1" <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Prop"Information <br /> Assessor Parcel Number(s) Property Size— Number of Parcels Project Size Williamson Act Contract <br /> EJ Yes E] No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: r.-A�,�j <br /> Uses to the East: Q <br /> Uses to the South: <br /> Uses to the West: ,NJ <br /> F\DEVSVOPlanning Application FormsWse Permit (Revised 1-2-03.) Page 2 of 9 <br />