Laserfiche WebLink
APPLICATIG, -- USE PERMIT <br /> N; <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> R'iior'�P FELE NUMBER: UP —A 09 2 <br /> I TO:BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Qwner-lnformatlonx <br /> Applicant Information <br /> Name: {rkx- leA) Alf 4,,-[, Name: <br /> Address. )CA may P- C� Address: <br /> Phone: &AO Phone: <br /> PROJECT DESCRIPTION `k <br /> Proposal <br /> '. <br /> I <br /> P s <br /> Description of the proposed project: <br /> 4E Sf <br /> i <br /> Business name(DBA): <br /> Emploay#q*Customers per VVork,Shift <br /> Shift Hours Days of the week Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used. <br /> Describe equipment used in theproject(include the number of automobiles and trucks): ! <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 Parceis Project Size Williamson Act Contract <br /> ,egagf —[]Yes No <br /> Property Address: <br /> a 73 Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: �f�+ [� All404-L r <br /> i <br /> Uses to the South: <br /> Uses to the . dst; . p-yv r • : - <br /> FADEVS=Planning Application FormslUse Permit.(Revised 1-2-03) Page 2 of 9 <br />