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�UrN APPLICATION - USE PERMIT <br /> P <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> C9��FORa`P FILE NUMBER: UP- <br /> 44 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> / <br /> Owner Information Applicant <br /> Applicant Information <br /> Name: ,rS� � �l co 1. C`Sk �e-tf' - <br /> ame: -/V,> (C <br /> Address: L' 7 Address:)` r- - S S0 <br /> Ton 207 o <br /> Phone: _v Phone: `7 /6 _ 6, _ 'j D U <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: —7 - 4 Af_ <br /> 1 � t. 8 dk <br /> Business name (DBA): �-- o r �� <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): p ,, <br /> Describe materials produced, stored or used (all hazardous materials should be identified): n- 44_ <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Sizefi Williamson Act Contract <br /> d 9 7 5-o0 - C> -/ O ❑ Yes [.f�No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): o crL <br /> LF <br /> Uses to the North: q <br /> Uses to the East: < (,�o <br /> Uses to the South: d Cc, <br /> Uses to the West: <br /> F\DEVSVC\PIanning Application Forms\Use Permit.(Revised 1-2-03) Page 2 of 9 <br />