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'SCANNED <br /> APPLICATION - ENTERTAINMENT PERMIT <br /> — ;, <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER. P A ® 0 9 ® 0 1 <br /> ...O iF 6 . <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> /Owner Information Applicant Information <br /> Name:(�� YH i� r f' u ' Name: vc y C �L <br /> Address: t Q Address: <br /> S <br /> Phone: Iq Phone: "- <br /> PROJECT DESCRIPTION <br /> 1 Proposal <br /> Description of the proposed project: f n <br /> Business name(DBA): tA to o <br /> Employees/Customers per Work Shift <br /> Shift Hours Days of the week Employees (Number) Customers per Shift Vehicle Trips per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles and trucks): <br /> aaAk <br /> Describe 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 /> 3 2, ❑Yes �'No <br /> Property Address: <br /> Existing Land Uses <br /> On Site Uses(Include Ag Crops): Par�L <br /> Uses to the North: <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: <br /> F:\DEVSVC\Planning Application Forms\Entertainment Permit.doc Page 2 of 10 <br /> (Revised 05-09-08) <br />