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J <br /> - AP;-LICATION - ENTERTAINMENT PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �'�;FsRNp FILE NUMBEIFA � 0 9 Q u® 3 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> !, F4Address: <br /> —.Sf/N /¢S CIC Name: 6yXIS �¢-✓IJP aitac%5? Cr!Zc <br /> / CW ,-s9//zS Address: O//y p Sok"" ',� ,�� O - (� Phone: ZO - i _7 _ �3 <br /> PROJECT DESCRIPTION <br /> " Proposal <br /> proposedro/,,ed <br /> �V £�i/ ti ro �2 Glc: c �l U V <br /> Employees/Customers per Work Shift <br /> Shift Hours Days oftheweek Employees(Number) Customers per Shift Vehicle Trips per Shift <br /> ( M 2 fl - J wl 2- 7 /d - /So /0 -/C-v <br /> 3 3 s- sw <br /> Materials/Equipment Used <br /> Describeequipmentused in the project(include the number of automobiles and trucks): <br /> Describe materials produced,stored or used(all hazardous materials should be identified): <br /> I�} <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act ntract <br /> U 02-0 O Z, 7 }cies ;'000 Fj- ❑Yes No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses(Include All Crops): 1 A <br /> UsestotheNorth: O prIV lcygCklWr LUT 5' 3 rvu��lnx '$ S d q{i GiNtT <br /> Uses to the East: E uIVIT <br /> Uses to the South: /'� C Cp „( L -O i <br /> Uses to the West: Z Aft-)L" y 6 <br /> FADEVSVC\Planning Application Forms\Entertainment PennilAm Page 2 of 10 <br /> .(Revised 05-09-08) <br />