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w <br /> PA- 64003 <br /> APPLICATION <br /> USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- <br /> TO BE COMPLETED BY THE APPLICANT PRIORTO FILING THE APPLICATWN <br /> Owner Infannation Applicantinfonnation <br /> Name: 13.1f Lis f T'a cic r f&f Nam; v = G(cZ/C vs? A—z- <br /> Address: Z t= G cX &5; <br /> Com' Cr' -3 77 1 2 <br /> (` C"f- Gi a3 4 6 <br /> Phone. el � )S— L 3 G f 2e 3 If I Z7 f fir,, <br /> PROJECT DESCRIPTION eLlp z�i V 'v,L, .,x <br /> proposal <br /> of the prgect <br /> Lo 3 21-641 irS 0 0�-k v <br /> Fftsinemw (DBAx L<- { Work Shiffr <br /> ex for of ,etc. if ) <br /> • if the nt Is an oftt the additional Inamm below Days of the week Custonmspersm Del er per s'hiit <br /> Km1AvbIs1Equkmmem Used <br /> used in the project( the mmiber of auMoblies,tucks.Mdft.etc j: <br /> fu rz� <br /> Descfe matenais produced,stored or used(a8 hazardous materials should be-dudedx <br /> PROPERTY D WCIWrY DESCRIPTION <br /> Property InIbmusdion <br /> Assessor Poind s) Ruperty Sze I Number of Parcels Project Size WHRartison Act Contract <br /> 2-oc'- 23c-z7 qcf 1 ®Yes 0N <br /> Pmperty Address: S ae -,k.6 '9ZI 22 <br /> Eidsdng Land Uses <br /> On-Sde Uses Nie Ag QDps� ! o % F p <br /> Uses to the North: f Ful jC;t? f <br /> Uses to the East vv, - — Q <br /> Uses to the South: -4— <br /> Uses to the West: /d Qaj 2,q—c(- Gsr e& <br /> FiDE3f r-aMM%e .O;tr ed02-M-10) Page 2 of 9 <br />