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ph- 14 e <br /> APPLICATI®N - ENTERTAINMENT PERMIT <br /> �.•. ..0 <br /> y <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .._ P FILE NUMBER: <br /> q�fFORra - <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Cc_ 't''(:information D om' Information <br /> Name: I J�S7`� h / " �Z Name: IDNO ry, ct� C nn <br /> Address: , he f Address: 2 .� <br /> Phone: 7_6'/23 1 Phone: iog, 7 9, j ;+ <br /> PROJECT DESCRIPTION i <br /> Proposal <br /> Description of the proposed project- <br /> jl_ M <br /> Business name (DBA): <br /> EmployeeslCustomers/Delivories per Work Shift" <br /> *(attach additional breakdownlexplanation for each phase of development,seasonal production,etc. if applicable) <br /> NOTE., if the proposed development is an addition to an existing facility, onlist the additional increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other.per Shift <br /> Materials/Equipment Used <br /> Describe equipment used in the project(include the number of automobiles, trucks,forklifts, etc.): <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Numbers) Property Size Number of Parcels Project Size Williamson Act Contract <br /> Ci k Gac-rc,�— I El Yes 4E'K�N0 <br /> Property Address: c 1-71L*Mw-) <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): <br /> Uses to the North: <br /> Uses to the East: 91 <br /> L <br /> Uses to the South: <br /> Uses to the west: <br /> FADEVSMPlanning Application Form5lEntehainment Permit.doc Page 2 of 10 <br /> (Revised 02-03-10) <br /> I � <br />