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aP4ttIN,• <br />1.1 <br />RECan.1 D <br />AUG 18 2@03 <br />APPLICATION — BUSINESS LMEM55z <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />/ BUSINESS LICENSE NO. k--666V'Elfq�' <br />�y <br />PLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br />Business Information <br />S - <br />7BusinessAddress: <br />Z S, 57, RT / <br />Phone #: s 76 - B8 33 <br />Cross StS/�'A7E City: 5J3cR.7Av State: <br />Assessor Parcel Number(s): <br />Other Businesses at this Address: /VON F <br />previous Business at Address: N! C /h/� (y%�rT v'� /N�� <br />Type of Business: Ai, 0Ai v Cr/!e / R E 21 fi 9 SPdA1 Sfif<4 f <br />Type of Organization: ❑ Single Owner ❑ Partnership Corporation ❑ Other. <br />Estimated Number of Full Time Employees: 20 - Zz- Estimated Number of Part Time or Seasonal Employees: r <br />Applicant Last Name: /,UF/dJFfE/sa C -7Z Applicant First Name: _TO&// - _� <br />Applicant Address: 30/. Al. b/�.Wd' -G �� ST. Applicant Phone No: -: S76 ". •�3 , <br />'3 Sewage Disposal: Public C3 Septic System <br />Water Supply: ❑Public On-site Well 9 P <br />Will there be any sale of firearms? ❑ Yes X No , <br />NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. r <br />Date'. <br />Applicant's Signature: <br />STAFF USE ONLY <br />��- <br />G/P Designation: <br />,,rte � <br />1- <br />Zoning: ,r Use Type: /ry�r'�iYF/ZJf <br />DEPARTMENT <br />Development Services <br />APPROVED <br />DENIED <br />Planner <br />DATE <br />Building Inspection <br />Environmental Health Div <br />Fire Warden MONTEZIIMA <br />Public Works <br />Solid Waste <br />Enforcement Officer <br />License Approved For: .%V"k N /l! A-4 zE <br />�. <br />Remarks: trt'!/r &Hfu%L�%� r �• - J`i 2 �/V i' J t"' <br />au T g A I <br />Accepted as Complete: <br />Dale: <br />FADevSvctPlanning Application Forms\Business License (Revised 12-31-02) Page 3 of 8 <br />CO, T :7Y <br />ICY 4aKE <br />`51 <br />