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�P. #: 9G - 3S TE: /D �1-96 RECEIPT i. �4,oS' /2606 BY: n1 <br /> OFFICE USE ONLY <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> :. feant.S�c�form . <br /> Ehuner Tfirmatoxi< <br /> rs <: : . .,::... <br /> Name: ti o, Name: <br /> Address: -2.S Address: ZSO Q-O <br /> 1- A,-7t rRo C° 1�- a1 S 3 3 O <br /> Phone: I a Phone: ZO 4-At <br /> :.:::.:::.....:..:.::.:.:. .. <br /> . . . .:..::. . .... . . .. <br /> Property Address and APN(s): Zsp ,& <br /> !'Z AQ a o 15o - <br /> ......:...................... ............................. <br /> ... .............:..... .::::::::n:�:: ::::::::.:i;;ii:iii;;Y.. .�-.�pyy..........::::::::......r:..ii'1:1i%:L{.'FrJ.•%:.i:::::.:::::::.%ri;ii::iiiti2:isY:r$:::::::y::::iy:i;>ii:iTi:i:ii:::.1y%•:(::.;i;;?�>i;i?: <br /> :....................w....................:.r:r:r.r.............r....r:.rrrrr?•. .......... ......::..................... r.r,::::..:............../..::.y:1':::.:.... • ..... <br /> :::::::r:rnw:v:r i'w:::w:::::::::::rir..:: :r;. /.:::.:v:..r....i%/J/N.:.l/•i.::::::x.:. .... pop .x... ...... .. <br /> ............1,�J•.............::::.v.....J/..r.f/.:.....n.rr..1::. �:..: :. 1 �}C ...... .....ri:::.::w:r::•:::::::•::.1::•:;w:;:.i•i:::•:n:. <br /> Please describe the proposedproject: IpLagKo t -r- S <br /> S ,. 1. G <br /> Business Name (DBA): <br /> .. ........:... .::::.:..::: .. ... <br /> ......::.::. <br /> :............:r.:::::::.:::..::::::::.::..:..%r::>:.i:.::.:;i:.;:;;:.i:.;:....v:.::..i::.:;»::>::. . a "us�i�s,er�:::.,..�::::.::.::;a>•IC:;S'hs�'.:::,,.:,,,.:::::.,::,::.,,::-:,,:::.::..:....... <br /> Shift Hours Days of the Week Employees Customers per <br /> (Number) Shift <br /> .. ........ <br /> Please describe the equipment used for construction of the project (include the number of cars and trucks): <br /> Please describe the materials produced, stored or used for the project (include all hazardous materials): <br /> — _ Pyr <br /> <>.:> <br /> > > -E a:' <br /> spa ,: s <br /> On-Site: �-Xa <br /> Uses to the North: D�Lti Uses to the West: J R-� <br /> ruses to the South: Uses to the East: <br />