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°D <br /> APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP-1 ! UQ� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: L— S � 2� (\ i Name: <br /> Address: 6 f Q AbAM, Address: C I e / <br /> Phone: 52 Q Phone: _ .�.j-' - <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: N /t A) 1 fit.` 6-tV 41L ela <br /> J7f 4 Ase z <br /> Business name(DBA): / �" (y <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> n r <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> 4219 9 <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> V3 <br /> 6,1 Hca ACIUt ( ❑Yes El No <br /> J : <br /> .� ! �" ^/1 c 2 / - <br /> PropertyAddress: r i� ,� � 1 ;� l` �a� /� <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: i°! <br /> Uses to the East: A G R : <br /> �rV 8A <br /> Uses to the South: 4,6), <br /> LUses to the West: ,+�� ° °) r ^ aT" '.•v <br /> F:IDEVSVC10anning Applic lion Forms\Use Permit.(Revised 1-2-03) Page 2 of 9 <br />