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i <br /> : _ � ._t,. ; APPLICATION ENTERTAINMENT PERMIT <br /> ` � SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: 300061 <br /> PA <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Owner Information Applicant Information <br /> e ` <br /> Name : rine tt Gtxo�ktxr Name : r S 1 % �►/� l G� c� � <br /> Address : qWW Address : O( W11� � rdV ,� <br /> Phone : Ct ® Phone : JPN <br /> PROJECT DESCRIPTION <br /> Proposal <br /> Description of the proposed project : o n (,t' + I, `t' o <br /> 1 6,7 AN" <br /> �,V\r &Vo� 516w0tr <br /> -- <br /> O vt' A p® O� eof < dl <br /> Business name ( DBA : N, h f5r <br /> mployees /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, only list the additional increases below <br /> Shift Hours Days of the vieek 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 /> LA <br /> Describennmaterials produced , stored or used ( all hazardous materials should be included ) : <br /> V � <br /> _ .. -...,. . . . . ... <br /> PROPERTY AND VICINITY DESCRIPTION <br /> Property Information <br /> Assessor Parcel Number(s ) Property Size Number of Parcels Project Size Williamson Act Contract <br /> ONNNO 15 o ® '} " �p10,5700 5_F ❑ Yes ANo <br /> Property Address : <br /> Existing Land Uses <br /> On - Site Uses ( Include Ag Crops ) : q,�( k-ky '&vl �- jr ANN <br /> i <br /> RD S'a " oe!� <br /> 6h <br /> Uses to the North : RA/ <br /> Uses to the East . <br /> Uses to the South : �(° Cry\ egg nore <br /> Uses to the West : `t (A <br /> FMpplication Forms & Handouts\Planning Application Forms\Entertainment Permit .docPage 2 of 10 <br /> . ( Revised 02-03-10 ) <br />