Laserfiche WebLink
Qaaul� AP�r1SfYtS USINESS LICENSE <br /> i SAN JOAQUIN COUN )) EVELOPMENT DEPARTMENT <br /> BUSINESS LICA NO. 6 L U?6 U l <br /> [lkoRi+� AAN JUAUUIN UUUNIY <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: ''2S0 t'O (A�QS'� C L4 Co. I,C USA -43 -2S-& <br /> Business Address: 134 '7 S7 E. gw 881 Zd"errdl Cross St L"r <br /> DBA Mailing Address: 3y�b So,.1h gy +�yA, SNd61 City: 4106rn 1 1 Stater ZIP:98'G61 <br /> Phone#: s3- V-Dp - 6 O a Assessor Parcel Number(s): U — G <br /> Email: <br /> Other Businesses at this Address: <br /> Previous Business at Address: rQ <br /> Type of Business: 60-S S-f 4+i'" <br /> Fa <br /> f Organization: ❑ Single Owner ❑ Partnership Corporation Other.ted Number of Full Time EmplIloyees: E'so�nated Number of art Time or Seasonal Employees:nt Last Name�Spro 4Jes+C�6s'it C6 4LC Applicant First Name: <br /> ant Mailing Address: 34610 <br /> Sv>s y1, 3 H L14.3 of <br /> S <br /> city A-,)W, State(AA- ZIP9gcc)I Applicant Phone No:a $3-$'`}6 -grj27 <br /> Water Supply: ❑Public ❑ On-site Well Sewage Disposal: ❑ Public ❑ Septic System <br /> [NOTE: <br /> ill there be any sale of firearms? ❑ Yes No <br /> ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> affirm,all the above information is true and correct Datepplicant's Signature: S- 3"07 <br /> STAFF USE ONLY <br /> G/P Designation: 9 CZoning: - Use Type: Cws�-L{n.�i -6w <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> M.H.C.S.D. <br /> license Approved For: <br /> Remarks: <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:\DevSvc\Planning Application Forms\Business License(Revised 06-30-06) Page 2 of 7 <br />