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op4�IN APPLICATION — ENTERTAINMENT PERMIT <br /> y� SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> C4L�FORa`P <br /> BUILDINGS AND STRUCTURES <br /> his information may be shown on the Site Plan <br /> Structure <br /> Number* Proposed Use** Ground Floor Area Highest Floor Overall Height(in feet) <br /> * The"structure number"should be used in identifying the structure on the Site Plan. <br /> **If there are two or more proposed uses in a building, make separate listings for each use. For residential projects, state the <br /> number of units in each structure. <br /> Additional Information <br /> Name, phone number,and permanent address of the applicant. <br /> CHI` <br /> Pb X 2Z L-�oC1GaFa2 <br /> -Describe the type of entertainment(e.g.,music, D.J.sporting events, comedy,talent show),and the maximum number of persons who <br /> are expected to be present within the entertainment establishment at any one time: <br /> Describe the proposed number of parking spaces,opening date and hours of operation of the entertainment establishment: <br /> C's;Acrsrlrt H-4S Oi.l StAtZ 200x0 W-9- 1W Ah3-V 6A/ff-NLS, <br /> Describe the proposed security arrangements for the control of patrons: <br /> CC.T V 0 Ke <br /> Name or names of the person or persons, at the time of application, having management or supervision authority over the proposed <br /> entertainment,or any business or premises wherein the entertainment is proposed to be located: <br /> � Dazs <br /> ,f Written consent for the proposed entertainment on the premise from the owner of the property by which the entertainment is to be <br /> j� located. <br /> F:\DEVS=Planning Application Forms\Entertainment PermiLdoc Page 3 of 10 <br /> (Revised 0413-09) <br />