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APPLICAI iON - USE PERMIT <br /> G <br /> a </l SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .� <br /> \9.:---_ :,.•XPi FILE NUMBER: UPY 1 lJ tJ 1? U / <br /> .CiFpRr�/ <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: �A�k <br /> Address: 5 L S AC_V mC-:QJ i C) `2z- Address: j QrC_ \V1 F%'i-j`c. <br /> C,� C15 z *C' L� <br /> Phone: R C_Ci �� L9 _3 L f Z Phone: ;2 L ct f`rl <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> StS i'n7 �,`��� _ ori-0_� ~ Rc��ll[�� �1U�-isL `C''_:i l�✓l'\� ,1�2E�S+9(�'lr SI-/�t�;� <br /> 1 (LA�AJ�tLICr <br /> z <br /> Business name(DBA): <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdown/explanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an existing facility,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Vehicles per Shift <br /> I�tov -fj�/? <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 /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> U 1 5 U U r✓ ) � `.� ` � ❑ Yes Flo <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> e,k,-e nay PC rvko'"l S <br /> Uses to the North: rc, S <br /> Uses to the East: L'6 <br /> Uses to the South: <br /> Uses to the West: G-D- rZ_5 <br />