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_ RECEIVED <br /> "4 •.� APPLICATION — BUSINES NCAA <br /> c SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT AR KKrr <br /> ��S�J,�Q ff <br /> COUNTY <br /> c' p <br /> BUSINESS LICENSE NO. 1RG&wNQvcco <br /> •:�q�IF 'RN`P:• VI ES <br /> 0 <br /> TO BE COMPLETED ITHEPLICANT PRIOR TO FILING THE APPLICATION <br /> iness Information <br /> Business Name: LcE�' L eCe FSTATicA <br /> Business Address: I .7 4 fJ NCross St <br /> DBA Mailing Address:1.5 05 IV• City: Coe KC r 0R 0 State: A ZIP: 5 23 7 <br /> Phone#: 2,95 - - 1 Assessor Parcel Number(s): O 5 1 - 1 -4 <br /> Email: 7lWoO Ire te0- p <br /> Other Businesses at this Address: <br /> Previous Business at Address: L"rf-riofo <br /> Type of Business: -7 - <br /> Type of Organization: ❑ Single Owner ❑ Partnership -a-Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: I Estimated Number of Part Time or Seasonal Employees: -D <br /> Applicant Last Name: L.E Applicant First Name: J f Ery. <br /> Applicant Mailing Address: P0 wx 550 <br /> City h,,, j state CA ZIP qS&f'K1Applicant Phone No: j 30 —3011,, — y 9'7B <br /> Water Supply: EiPublic ❑ On-site Well Sewage Disposal: <Iff Public ❑ Septic System <br /> Will there be any sale of firearms? ❑ Yes <w-'No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I,affirm,all the above informatio is t e and correct Date: p <br /> Applicant's Signature: �, 9 ✓/ <br /> STAFF USE ONLY <br /> G/P Designation: Zoning: G—(:- Use Type:{ IY'9 <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: G o�'3 •O <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> M.H.C.S.D. <br /> Sherif(Junk Dealers Only) <br /> License Approved For: `--_ <br /> Remarks: <br /> Occ,Grp. <br /> Accepted as Complete: Date: <br /> F:\DevSvc\Planning Application Foms\Business License(Revised 05-01-08) Page 2 of 7 <br />