Laserfiche WebLink
Af-PLICATION - ENTER AINMENT tPERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> f <br /> 080 <br /> ' <br /> FILE NUMBE �,-` ;� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: ` 8 r` Name: 1i <br /> Address: tnLe- Address: <br /> GCA , p- <br /> Phone: a � 2-0. <br /> Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: / <br /> Q [ In D Vfif� . <br /> i f� <br /> Business name(DSA): <br /> Employees/Customers per Work Shift f... <br /> Shift Hours Days of the week (Number) ustomer per Shift ehicle Tri s per Shift <br /> 4 .,E,, <br /> Materialsf�uipment Used <br /> Descri a equipment used in the project(include the number of automobiles and trucks): <br /> Des -ri a materials produced,stored or used(all hazardous materials should be identified): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> b v o n j]Yes O'O <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: A fW d <br /> s Uses to the East: co M [� <br /> Uses to the South: -S <br /> k Uses to the West: C d rri <br /> F_1)EVSVCTlanning Application FormslEntertainment Permit.doc Page 2 of 10 <br /> (Revised 05-09-08) <br />