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vin APPLICATION — USE PERMIT <br /> s SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> M. < <br /> FILE NUMBER: UP- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: 4 -�rN Name: V vq <br /> Address: _ —T-.Al Address: ( pp <br /> GA sa Ga 9 - o <br /> Phone: Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: ',kP I CLECACM i no <br /> _ c� Llaw 1 vton_ :. q - r l <br /> ;c <br /> Business name(DBA): 1/'e v W i.ue ciao( �S 12 �� <br /> Employees ustomers/Deliveries per Work Shift* <br /> '(attach additional breakdown/explanatlon 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 Deliveries/Other per Shift <br /> _ — /o - zo <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 /> ho <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> Yes ❑ No <br /> Property Address: 1 O T C <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): W q-ri <br /> Uses to the North: M G <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: Qr6A lag <br /> F.OEVSVC\Planninp Applintlon Fomms\Use Permit evise4 02-03-10) Page 2 of 9 <br />