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• 1l Rv-i�l- <br /> APPLICATION — BUSINESS LICENSE <br /> ?• 'A SAN JOAQUIN COUNTY COMMUNITY /�DEVELOPMENT DEPARTMENT <br /> u J`� �' Zp12 BUSINESS LICENSE N0. !�� d Z� <br /> o u d NVIrE !16 HEAD <br /> )a CM ', 1 ' <br /> I' <br /> � l <br /> Business N'me: `frh.Q Ql '~'s l� <br /> 22q O R st Q stats:G/a ZIP. $Z8 <br /> Business ArSdress: <br /> City: ♦ .^/ <br /> DBA Malting Address: <br /> !J Assessor Parcel Numbar(s): <br /> Xt- <br /> Phone#: �v S Criv,� <br /> Email: lJl9- i <br /> Other Businesses at this Address: <br /> Previous Business at Address: <br /> Description;ofBusiness Operation:: <br /> Owner !�N <br /> ❑ <br /> Partnership ❑ Corporation ❑ Other. <br /> Type of Organization: ❑ single <br /> umber of Full Time Employees: Estimated Number of Pan Time or Seasonal Employees: <br /> Estimated N Applicant First Name. <br /> Applicant test Name: <br /> Applicant Malting Address: Z� Applicant Phone No: 7 V1 <br /> City,rn.• stet ubSeptic system <br /> do r] or sNe Well Sewage Disposal: PublicWater Supply: '� <br /> be <br /> any sale of firsaans9 ❑ Yes EI;No <br /> ANY OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING <br /> NOTE: INGPERMITS. <br /> Will there CHANGE OF <br /> 1,affirm penalty of perjury ha�ndemniry and hold haboveinformatall the above irrniess he County rand its 9•lU' <br /> I,the Owner/Agent agree,to defend, action or proceeding against the County <br /> agents,officers and employees from any claim, <br /> arising fjom the Owner/Agent's project. .—.. : <br /> !' '^'fa s <br /> AppNCaBV$ISR0" <br /> rl' ♦1 I .F U <br /> < ' . 's'er f-r'�1-�f,< /.� �,r..„ ,•. C ._. <br /> - s Zoning: / v Use Type: DATE <br /> GIP Dell radon: <br /> APPROVED DENIED 0 Z/ <br /> ARTME Planner Name: <br /> Develop lent Services <br /> Building I, pection <br /> E,*mr yentas Health Div - <br /> FiraWanMen <br /> Public W,rue <br /> M.H.C.S.b. <br /> i <br /> License approved For. <br /> Remark <br /> Occ.Grp. <br /> Date: <br /> Accepte as C0mPiete: <br /> F/AppdcatlensFam53Handouts/PlanningAPplinfions/Business License(Revised 11-1414) <br /> page 2 of,6 <br />