Laserfiche WebLink
APPLICATION - <br /> "•.�� E< SAN JOAQUIN COUNTY COMMUNITY DEBUSINESS ENICDEPARENSE <br /> VELOPa•., <br /> /FonN P BUSINESS LICENSEo <br /> NO. <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Name: Business Information <br /> Business Address: _ /e <br /> Mailing Address: Cross St <br /> Phone#: City: - <br /> State:e zip. <br /> Other Businesses at this Address: Assessor Parcel Number(s): <br /> �i3-/so-oy�/yJyso <br /> Previous Business at Address: <br /> Type of Business: <br /> zt G UR - <br /> fF iP G <br /> Type of Organization: ❑ Single Owner ❑ Partnership Corporation ❑ Other. <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Applicant Last Name: . ;�r-ZlVz4Applicant First Name: c e-', <br /> Applicant Address: Applicant Phone No: L,pp <br /> Water Supply: ❑Public ® On-site Well Sewage Disposal: ❑ Public 0 Septic System <br /> Will there be any sale of firearms? ❑ Yes Df No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Signature: Date: p <br /> STAFF USE ONLY f+ <br /> �� Use Type: RKI�fUL�/Z/gL Jit <br /> G/P Designation: jL Zoning: J <br /> DEPARTMENT APPROVED DENIED <br /> DATE <br /> Development Services Planner Name: Ut3D 0 6 2ed3 <br /> Building Inspection <br /> Environmental Health Div <br /> Fire WarderEASTSIDE <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> License Approved For: <br /> Remarks: <br /> Date: <br /> Accepted as Complete: <br /> F:\DevSvc\PlanninD ADDlication Forms\Business License(Revised 12-31-02) Page 3 of 8 <br />