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APPLICATION USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: IL <br /> Address: Va., 'R A Address: <br /> t'ir-i CA . <7\ <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project- <br /> X2.gIC) !-tj. <br /> 1b <br /> L <br /> Business name(DBA)- <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 li ,onl list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> �n"\,NL-!r�I <br /> Describe mate <br /> nals produced,stored or qfl��(all hazardous materials jrd be included): <br /> ): <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 /> !3a- V=vZ>- es Eq_N, <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> F-kDEVSVMP1ar)Nng Application FGrmskUse Permit (Revised 02-03-10) Page 2 of 9 <br />