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New Facility Existing Facility <br />San Joaquin County Environmental Health Department <br />Application Form <br />Facility Name Mountain House Central Park <br />City Mountain House State CA ZIP 95391 <br />Rickman - 5APNSupervisor District <br /> Consultation Change of Owner O Other <br />Comments Special Event | Block Party - Nov 2nd, 2024 (Day of the Dead) by Mountain House Chamber <br />License Plate Number VIN <br />X Billing Party Facility Contact Contractor Architect <br />X Billing Party Facility Owner Facility Contact O Property Owner Contractor Architect <br />First Name Matthew Last name 'Disko' Earnest If contractor, indicate type and license number <br />Address 212 W Prosperidad Way City Mountain House State CA ZIP 95391 <br />Phone 5102397080 Phone 2094071550 <br /> Billing Party Facility Owner Facility Contact Property Owner Contractor Architect <br />If contractor, indicate type and license numberFirst Name Last name <br />Address City State ZIP <br />EmailPhonePhone <br /> Architect Billing Party Facility Owner Facility Contact Property Owner Contractor <br />If contractor, indicate type and license numberFirst Name Last name <br />Address City State ZIP <br />Phone Phone Email <br />Type of Service <br />Requested <br />If mobile food <br />truck or pumper <br />truck <br />Contact Types <br />required <br />X Application for <br />Operating Permit <br />Email <br />MrMattDisko@gmail. <br />com <br /> Property <br />Owner <br /> Repairs or <br />Remodel <br /> Facility Owner <br />Site Address 25 E Main Street