Laserfiche WebLink
°e4tr, APPLICATION USE PERMIT <br /> _:• ° <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- A - i (7 o j? <br /> �rF°'rt <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> L Owner Information Applicant Information <br /> Name:" hD'f A2(l4at IvC EX<<,4-�-jC4 Name: <br /> Address: R6999 r-) f V- 2 Address: P0 ` ;n, ( '7� <br /> TOOV'( '7/ C6, t V (.^ cf t�:l()Y{ 1't' �" �`r ir)t5• <br /> Phone: ?.t.�. �� ...,, } Phone: C) o <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project s, .� � <br /> 0d tel -f/ - c / O onal"&4-e ,Cir2e Li2ni �k sJ 1.4 <br /> Business name(DBA): l'Or r)T 7 <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdown/explanation for each phase of development,seasonal production,etc. If applicable) <br /> NOTE: if the proposed development is an addition to an existing facilit ,only list the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> ei <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles,trucks,forklifts,etc.): <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> 3 0,s! I a , yst ❑ Yes RNo <br /> Property Address: a,5ggg t (?Yl'7±2L, l ('r ClcC '. <br /> Existing Land Uses <br /> On-Site Uses(include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: 12 ' <br /> FADEVSVMPlanning Application Forms\Use Permit.(Revised 02-03-10) Page 2 of 9 <br />