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C n <br /> APPLICATION -- ENTERTAINMENT'• �` °` NT PERMIT <br /> ";' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1(`pR <br /> FILE NUMBER: A w ® 9,0011 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> Name: Cn6wh'm C Ve ew amyl G LU Name: Wtr Ll C, <br /> Address: p w i rt(,(m c l i CoJC Address: <br /> LaC1'tcI v <br /> hn ch. %z o <br /> Phone: <br /> PROJECT DESCRIPTION <br /> E <br /> Proposal <br /> Description of the proposed project: t VQ r <br /> Cnt <br /> tx�te arb es - ofi r t S <br /> na Ven <br /> i <br /> Business name (DBA): 11RLIZ, <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, onlist the additlonal increases below <br /> Shift Hours Days of the week Number of Employees Customers per Shift Deliveries/Other per Shift <br /> m-aum 0 Oct - SoU 5 b <br /> MaterialslEquipment Used <br /> Describe equipment used in the project(include the number of automobiles, trucks, forklifts, etc.): I <br /> Describe materials produced,stored or used (all hazardous materials should be included): <br /> Hone- <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s) Property Size Number of Parcels Project Size Williamson Act Contract l <br /> 131_JaQ— W ricreS 3 .SQCre S ❑ Yes ® No <br /> Property Address: <br /> Existing Land Uses <br /> On-Site Uses (Include Ag Crops): Qf res�al,v cel y ( -L <br /> Uses to the North.- <br /> Us e s <br /> orth:Uses to the East: W N, <br /> .... .. ... .. ... __ _.. <br /> Uses to the South: <br /> Uses to the West: W otec <br /> FADEVSVOPianning Application FormslEntartainment Permit.doc Page 2 of 10 <br /> (Revised 02-03-10) <br />