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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> <i <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information <br /> Applicant Information <br /> Name: L1 Name: r w�Ci <br /> f Address: <br /> Q Address: <br /> 4.2 rZj <br /> q <br /> Phone: UPI 1� - Phone: <br /> E <br /> f PROJECT,DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <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 /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced,stored or used (all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property)Size I Number of Parcels Project Size Williamson Act Fontract <br /> Q4 - --) •' a- C-05 '1GL'trS E]Yes No <br /> Property Address: fl , dh rd: �h a � <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: S <br /> Uses to the West: <br /> FADEVSMPlanning Application FormslUse Permit.(Revised 05-11-09) Page 2 of 9 <br />