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RA 140010 2 <br /> APPLICATION - ENTERTAINMENT PERMIT <br /> i.•.—.E�.coG <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i <br /> FILE NUMBER: <br /> /FOR <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Informatio Applicant Information <br /> Name: (.c/i P--4�{{�l Cd1''G .moi i�eL Name: (.t)/aAx�-Z"(,�o'.c_ <br /> Address: 7 &av AJIj, ,I/ Address: �G oG lt�llDCyti,�'f G7jIlL /�. <br /> Phone: �G`f G �� Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: <br /> Business name(DBA): !i eC lu Uc— �iG✓ / / �� <br /> Employees/Customers/Deliveries per Work Shift* <br /> *(attach additional breakdown/explanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE: if the proposed development is an addition to an existing facility, onlist the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> yn-i M -7 d /cry -3" /0 <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles, trucks,forklifts, etc.): <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> -z- "- ficr S ❑Yes 9 No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: ��� ✓✓ <br /> Uses to the East: W, <br /> Uses to the South: <br /> Uses to the West: <br /> F:\DEVSVC\Planning Application Form s\Entertainment Permit.doc Page 2 of 10 <br /> .(Revised 02-03-10) <br />