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r . <br /> APPLICATION- USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TO BE COMPLETED BY T}1E APPLICANT Pf11OR TO FIUNG THE APPUCATtON <br /> homer Information <br /> ame: <br /> Appllcant Information <br /> N ._.. Name: aC,(,—/ <br /> /� r <br /> Address: /s(7lp GLAddress: G. Lrn <br /> lho C-c 2 _ <br /> �.. Phone: 99'- 2 3 Phone: - <br /> �' :.. . PR�JlrGT,DESCRIPTIOt1 <br /> Description of the proposed project: <br /> GU G 5 1�tJ v v <br /> 5 \ <br /> Business name(DBA): <br /> EmNoyeeslC�sioe l+ser Psi Wctk Sltm...." <br /> EmployeesCustomers per Vehicle Tripe per <br /> Shift Hours Days of the weakShift <br /> (Number) Shift <br /> t�OSEO Sc<ND <br /> i. a : ef <br /> "''; k�� � Mbtbrlaf "ulpMenl�lsed ,. ' <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> 10 /tL o tiro ' 6z Tiucc SEs <br /> Describe materials produc ;stored ,r used(all hazardous materiels should be Identified): <br /> g.s r , �,y , PRDPERT`f� /1CINt]E$�tIPTIbPI�� �s <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size WIlllemson Act <br /> Contract <br /> / 1 ❑Yes No <br /> Property Address 3�� �� r Nc r/SEE '¢ `" :: <br /> f^�,�' Y�'y��i �^''�nt,'^^_ <br /> t, .^. �dstlny�nd�isar <br /> On-She Uses(Include Ag Crops): <br /> 211 SFS S��c'L,4GF <br /> n r <br /> Uses to the North: QPF 6'7,)C <br /> Uses to the Eeal: "t <br /> Uses to the South: �- <br /> Uses to the West p2 61YI4,Q D <br /> y <br />