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Dec 04 07 03:10p P. <br />• tv/P4 /2007 09:26 FAX 2094663 1 SJC_COMM_OEV . <br />m 002 <br />RECEIVe r <br />ip <br />PLtCAtWN — BUSINESS LICENSE <br />SAN JOAQUIN CgMV��MEpW TCY�DEVEELLOPMENT DEPARTMENT <br />J"rFICEBU51iJESESNLICE NO.i) L �� <br />TO BE COMPLETED BY, THE APP.LI.CANT PRIOR TO FILING THE APPLAGA I wrv' <br />Business Infdanatlon <br />Business Name: 11S Auto arviep, <br />Business Address: Pi. "Vil qq (2653bj I Crosast Coilier Road <br />DBA Mailing Address: fb~c- city: (3cam Staid: CAZ!P:�SZ%C <br />Phone a; 20d1)ZZi}J Assessor Parcel Number(s):— <br />Email: <br />Other Businesses at this Address: <br />Previous Business at Address: — <br />TYPO otBusiness'p�DA*�oT\ <br />Type of Orgenizallon: Single Owner1 ❑ Partnership ❑ Corporation LJ DO,(: <br />Estimated Number of Full Time Employeas: ` L -Y Ealimotod Number Of Pad Time or Seasonal Employees: <br />Applicant Lest Name:h KeApplicant First Name: On i <br />ApplinaMM316og Address'. 21bIZI <br />i v H\N qq <br />City Acarri4 State ZIP g52Z0 Applicant Phone No.- <br />Water <br />o:Water Supply: ❑Public ",C) on ­she Well Sewage Disposat ❑ Public j2K Septic System <br />Will there be any sale of Firearms? O Yes JQ No <br />NOTE- ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br />I, affirm, all the above information is trruue� and correct Det° <br />j h Aci 0 <br />Applicant'9 Slgnelure:i <br />STAFF USE ONLY <br />G/P Designation: Zo ing. Use Type: <br />DEPARTMENT APPROVED DENIED DATE <br />Development Services I Planner Name: Z • 7 <br />Building Inspection <br />Environmental Heat" Div <br />Fire Warden <br />Public Works <br />M.H C.S.D. 1' <br />License Approved For: •_ <br />Remerkf'. L 03 <br />2— O" <br />Occ Grp. <br />Date: <br />Accepted a9 Complete: <br />Pa e2of7 <br />f \0 e•S+c!Plannine Aoplicaaon Lormb\BVein@t5 LLCM SC (neNSCA n9-tb0%) 9 <br />