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} 1 <br /> r� = 'LICATIQN - ENTERIAINMENT PERMIT <br /> '? <br /> H: :< SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: F A ® 0 8 <br /> E TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> i Owner Information x Applicant Information <br /> Name: 11 u�D()Lf Q5 - Name: <br /> Address: C p U1 i Utz Address: � ,�_)e Q Q <br /> Phone. A 2. Phone: <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: , �,/� <br /> D L rt <br /> Business name (DBA): <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 /> Descri a equipment used in the project(include the number of automobiles and trucks): <br /> Des ripe materials produced,stored or used(all hazardous materials should be identified): <br /> -AM <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract <br /> e o o 2- ❑ Yesgo <br /> Property Address: <br /> Existing Land uses <br /> On-Site Uses(Include Ag Crops): <br /> Uses to the North: Lo 1W L d <br /> Uses to the East: C) M <br /> Uses to the South: '5 <br /> Uses to the West: [d M N d <br /> F:TEVSVC%PlanningAppiication RormslEntertainment Permit.doc Page 2 of 10 <br /> (Revised 05-09-08) <br />