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` Au APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: t/h,P-1191k L cG Name: <br /> Address: k 6-L(.\ S. V WZ, Address: <br /> t Aco.J cJi . q <br /> Phone: 2&iF3-5 571-!;a-3 7. Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: `k _ <br /> n u S� <br /> n <br /> Business name(DBA): <br /> Employees/Customers/Dellvaries per Work Shifr <br /> `(attach additional breakdown/explanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the Proposed develo mern is an addition to an A.H.efactli ,onl list the edditlonal increases below <br /> '^ Shift 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,forklifts,etc.): <br /> Describe metal <br /> nals produced,stored or used(all hazardous materials shoultl be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size I Number of Parcels Project Size Williamson Act Contract <br /> D \ es ❑No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): c c c <br /> Uses to the North: \ <br /> Uses to the East L yyvN <br /> Uses to the Scuth: L <br /> —' Uses to the West <br /> FIDEVSVQPIannby APwk kn F.\Use P.r iL(Rmd 02-0&10) Page 2 of 9 <br />