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TYPE OF EVENT: APN: Name: City Zip: Parking Spaces Required: Number of Employees: TENTATIVE APPROVAL APPROVAL REQUIRED:APPROVED FOR SPECIAL EVENT YES.'NO YES BUILDING INSPECTION DEPARTMENT '"YES NO YES DEPARTMENT OF PUBLIC WORKS NO YES NO YES NO NO NO NO YES YES NO CALTRANS YES YES NO YES NO SHERIFF’S DEPARTMENT FINAL APPROVAL: COMMUNITY DEVELOPMENT DEPARTMENT DATE Page 1 of 2F/Applications Forms & Handouts/Planning Application FormsXSpecial Event- Routing Form.doc (Revised 8-3-14) PLEASE CONTACT THE FOLLOWING DEPARTMENTS FOR THEIR APPROVAL AND THEN RETURN FORM TO COMMUNITY DEVELOPMENT DEPARTMENT SPECIAL EVENT ROUTING FORM SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT 1810 E. HAZELTON AVENUE, STOCKTON CA 95205 BUSINESS PHONE: (209)468-3121 Business Hours: 8:00 a.m. to 5:00 p.m. (Monday through Friday) /£> d) NO NO YES? NOTE TO DEPARTMENTS LISTED ABOVE: YOUR SIGNATURE INDICATES YOUR APPROVAL OF THIS SPECIAL EVENT. USE THE REVERSE SIDE OF THIS FORM TO NOTE COMMENTS OR CONDITIONS OF APPROVAL BY YOUR AGENCY. State: Date/Time of Event:, Date/Time of Event: _________________________OTHER__________________________________________ ALL OF THE ABOVE MUST BE APPROVED FIRST A minimum of ten working days is required for Sheriff’s review. NO ) ‘ DATE ADDRESS OF EVENT: "I5-/ A 3 ■ Nc’lC J f 16 I. ZONING:)^ "MO PROPERTY OWNER NAME AND ADDRESS J-n -/-fa A, i/rssdc Address: 3 fa 3 3 ■ A/liAJ C^-S-3/ City: d>fa cfafar) Zip: State: (3-A PHfaSI- 333 A fa___________REQUIREMENTS Date/Time of Event:'?T/"/ (fl - /fam -/Afaj-n ///fa-'/S'/AA>/3 - Afam -/tyjnfa COMMUNITY DEVELOPMENT DEPARTMENT /'V’ // zy/S fay/Zm-) fas____ PLANNING APPLICATION NO.: | EVENT SPONSOR NAME AND ADDRESS Name: Address: 73333,■ /fa-ecoI FIRE PREVENTION;—-j . 7:\ kfa937 / 3 •ENVIRONMENTAL HEALTH DEPARTMENT CALIFORNIA HIGHWAY PATROL Maximum persons anticipated at one time: Parcel Size: 3 farce sDate/Time of Event: 7. AM, /fa- fa/y/fa-