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ts j`p.J aX <br /> ' . APPLICATION - USENREIRMIT <br /> ! � # SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER RIP-1 1 122 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: (,,.,VOG % Name: A <br /> Address: 7—(e I \ E. - Address: <br /> ori Cla . c3t '5(r+(e <br /> Phone: — Z33 Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project £%�!' t—\t S W <br /> Business name(DBA): \..,J CG./k W <br /> Employees/Customers/Deiiverles per Work Shift* <br /> `(attach additional breakdown/exptanation for each phase of development,seasonal production,etc. If applicable) <br /> NOTE: if the ro sed development Is an addition to an existingfacility,onl list the additional Increases below <br /> Shitt Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks.forklift,etc.): Wilk- <br /> Describe <br /> p <br /> Describe materials produced,stored or used(all hazardous materials should be included): � <br /> lsl N S w� v`\id <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size\ 20 pcREs ProperlyAddress: '2L rL.• t V \ O uJ CPExisting Land UsesOn-Silo Uses(Include Ag Crops): V..o <br /> Uses ID the North: 4S <br /> e East <br /> Uses to th1. S <br /> Uses b the South: 1 <br /> Uses to the west: Lw.orN O S <br /> F:%DEVSVMFUmirg nnnr�sm Fa MUm M.(rmwmd 02�10l Page 2 of 9 <br />