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Y-g Y6 <br /> APPLICATION -- ENTERTAINMENT PERMIT <br /> 2: .y <br /> y { SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: PAS l 1000 <br /> �•'� FOR��4 . <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner InformationApplicant Information <br /> Name: 4.7`, Name: ! `p E Cd/A,t f62 <br /> Addres .—._ t Address: <br /> Phone_._ .w `� �`�-3�s= /.._. hone: - <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project: S <br /> y -C_- <br /> Business name(DBA):. p5/a� .k m Pir pec t--�i <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,andy list the additional Increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift beliveries/Other per Shift <br /> YN /low <br /> Materials/Equipment Used <br /> Describe equipmept Mad in the project(include the number of automobiles, trucks,forklifts, etc.): <br /> Describe materials produced,stored or us d.(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 /> cfs: 7 d3a- K ❑Yes _. o <br /> Property Address: 02 02 <br /> Existing Land Uses <br /> On-Site Uses(Include Ag Crops): !Q wU ; Nal, <br /> Uses to the North: �f%. — a -- earl' r Qui r' <br /> Uses to the East: <br /> Uses to the South: <br /> Uses to the West: Vs eco_%i <br /> FADEVSVMPianning Application FormslEntertainment Permit.doc Page 2 of 10 <br /> .(Revised 02-03-10) <br /> t <br />