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a APPLICATION — USP PEKMIrT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: SA- DA 16 U I I ) 1 i% <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Name: r7 t7 - <br /> Address: jV CrfA4P pW Address: C C /l <br /> 41 Po S3 A G _ 2=1e 0/i q9S-�6G <br /> Phone. tl — SSS{-9 S Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: o G (,.15•E� b <br /> t L arJ Arm L*e:r,- Lu - I <br /> Business name (DBA) <br /> Employees/Customers/Deliveries per Work Shift' <br /> `(attach additional breakdown/explanation for each phase of development,season <br /> NOTE: if the proposed development is an addition to an existin fac...ty list the additional increases below <br /> Shift Hours Days of the week Number of Employees ift <br /> A a <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 /> L_ of s Set v—LAL- S <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) I Property Size Number of Parcels Project Size Williamson Act Contract <br /> 20'�J .� �i2 `2� �O.00 � �rf� ❑ Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(include Ag Crops): M1 oh.t4'f�:;, Py_f✓t6t1p t�> <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: C�11 P�C__-L-'E Vo 47 <br /> Uses to the West: L <br /> F:GEVSVOPlanning Application Forms\Site Approval.(Revised 02-03-10) Page 2 of 9 <br />