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APPLICATI(_q - USE PERMIT <br /> (41oDO <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UPT A O-5A® 4 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information - pllcant Information <br /> Name: �ii1 iS�L L� ✓ - Z - " Name: et"X A y fSC� <br /> Address: /+ )-n' !- ��.:_�(, Address: <br /> Phone: Phone: ,. <br /> ,�y,� <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: >- � %'^-cam_ �n�.r7�7�c ��'%i15�ti'oia./ ;,r,?�w ;tiiL G4:i14:�esi���� � <br /> y'PF Cs'il S'_w <br /> l <br /> �:d I <br /> Business name (DBA): <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> IJ14 <br /> Materials/Equipment Used <br /> Describe equipment used in the project(indude the number of automobiles and trucks): i = <br /> 0 <br /> Describe materials produced, stored or used (all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 117 —,?ZI _ Z ❑ Yes ❑ No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): ,rte y'li'G <br /> Uses to the North: •1 ,! <br /> Uses to the East: •/l .{ <br /> Uses to the South: IJ <br /> uses to the west: /1 <br /> , <br /> FIDEVSVMPtamingAppkalionFonnsWsePe,mN.(Revtse01-2-03) Page 2 of 9 <br />