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oP°`'I" APPLICATION - ENTERTAINMENT PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �''• FILE NUMBER: <br /> q�/FORS <br /> BUILDINGS AND STRUCTURES <br /> (This information may be shown on the Site Plan) <br /> Structure <br /> NumberProposed 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 /> 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 /> Describe the proposed security arrangements for the control of patrons: <br /> lfl� G�—.—sem da i�aeC� <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 /> Written consent for the proposed entertainment on the premise from the owner of the property by which the entertainment is to be <br /> located. <br /> EE <br /> F:\DEVSVC\Planning Application Forms\Entertainment Permit.doc Page 3 of 10 <br /> .(Revised 02-03-10) <br />