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APPLICATION - USE PERMIT <br /> H <br /> p , Q SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c�•.- .r .• FILE NUMBER: UP- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: eenSna)zprName: <br /> Address: 23243 N. Rond Road Address: 913 11th Street <br /> Golden , Colorado <br /> Phone Phone: 303 <br /> PROJECT DESCRIPTION <br /> Proposal --- -- ---- <br /> Description of the proposed project: <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 /> er. wppk1_ 1-3 <br /> 12AM —8AM 7 daVs icier week 0 <br /> aterials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): 6 , 0 0 0 — a 1 1 <br /> tankers ; 24—ton trailers ; flatbed trucks ; forklift <br /> Describe materials produced,stored or used(all hazardous materials should be identified): s <br /> s <br /> bv _ rnducts ( fats , oils , sugars dried animal feed <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 /> 011-50-08 1 267 . 3 Ac . 1 12 . 5-3 Acresl El Yes E3 No <br /> Property Address: <br /> Existing„Land Uses <br /> [Uses <br /> n-Site Uses(Include Ag Crops): Active Dairy and C r o i <br /> to the North: Dairy <br /> Uses to the East: Dairy <br /> Uses to the South: Ag Crops : Corn and Oats <br /> Uses to the West: AQ Cropse Corn and Oats <br /> F:\DEVSVC\Planning Application Forms\Use Permit.(Revised 6-03-04) Page 2 of 9 <br />