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Please provide all information requested; an incomplete application may delay approval <br /> B FACILITY INFORMATION <br /> Name of Facility:Legacy Fields Concessions <br /> Street Address:4901 N.Tracy Boulevard <br /> City: Tracy Zip Code: 95376 <br /> ❑ FORMER NAME OF FACILITY <br /> Not Applicable <br /> 8 BUSINESS OWNER INFORMATION <br /> Business Owner Name:Norval Concessions <br /> Home Address: <br /> Mailing Address:681 Saffron Drive,Tracy, CA 95377 <br /> Telephone Number:David Duncan(209)814-7681 <br /> • PROPERTY OWNER INFORMATION <br /> Property Owner Name:city of Tracy <br /> Home Address: <br /> Mailing Address:333 Civic Center Plaza <br /> Telephone Number:Parks and Recreation Front Desk(209)831-6201 <br /> 8 CONTRACTOR INFORMATION <br /> Name of General Contractor:Goodland Landscape Construction Inc. <br /> Mailing Address:2455 N. Naglee Rd. Suite 402 <br /> Telephone Number:(209)835-9956 <br /> Contact Person on Site:Robert Bingham <br /> Site Phone Number:(209)835-9956 <br /> 8 UTILITIES <br /> Source of Facility Water Supply:City of Tracy <br /> Backflow Protection:Yes <br /> System to be used for Liquid Waste Disposal (Sewage):city of Tracy Sewer Line <br /> Solid Waste Disposal to be provided:On Site(Dumpster Services from Delta Disposal) <br /> Grease Interceptor:NA <br /> 8 FOOD INFORMATION <br /> List food(s) to be served and/or provide menu: <br /> Hot Dogs, Nachot, Chicken Tenders, Popcorn, Bagel Bites,Chips, Cookie,Water,etc...(see attached proposed menu"Attachment B") <br /> ❑ OPERATIONAL INFORMATION <br /> Anticipated Business Hours: Open: 8AM(Weekends) Close: 9PM(Weekends) <br /> Anticipated Number of Employees:12 <br /> EHD 16-01 4 PLAN CHECK GUIDE <br /> 7/5/17 <br />