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ctUlf <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> P i <br /> ' <br /> : q t � <br /> .,, \P FILE NUMBER : UPCC <br /> �� 1 FORS <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION' <br /> IN <br /> Owner Information Applicant Information . <br /> Name : t �. � � ( �. . Name : �. [ /- 1 1 ^ C. �. <br /> Address , t 2 ZD — Address : , k � 0 ��.� t 1 e.;' EF RVA (5 , 3 <br /> cA t v r " <br /> Phone : Phone : . C;) 9 v a vj - cs <br /> PROJECT DESCRIPTION <br /> Proposal . <br /> Description of the proposed project: �� ' � � � <br /> � Manion <br /> a C� Com` / V.3 ° 2 t� C <br /> C> --fit. r. (Z. <br /> Business name ( DBA) : C:, LV , t_ " CAr ` '— <br /> Employees/Customjl� 11ersl. eliveries per Work Shift" , <br /> attach additional breakdownlex lanation for- each, hase of develop menta seasonal production etc . --' if a licable <br /> NOTEt - if °the proposed develo m' ent <br /> Is addition#o a ' p P pp ) <br /> ' . . n existing facility; '_onl : list the additional increases. below` . ' <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> IL <br /> _ MateriIT I als/Equipment Used IWINNE <br /> T <br /> 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 /> c <br /> _ - PROPERTY ;AND VICINITY DESCRIPTION - <br /> .Property Information1 7- <br /> = <br /> Assessor Parcel Numbers ) Property Size Number of Parcels Project Size Williamson Act Contract <br /> l c) Q o Ac_.. t 0 c4 Ir-L > ❑ Yes ' No <br /> Property Address , <br /> -{ - - Existing Land Uses IT <br /> On-Site Uses ( Include Ag Crops ) : e. <br /> Uses to the North : ( �- L <br /> Uses to the East: �. L� p 1`! %C> <br /> Uses to the South : 00111, <br /> Uses to the West : <br />