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E APPLICATION - BUSINESS LICENSE SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT BUSINESS LICENSE NO. TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION BusinessInformation Business Name: MIDSTATE BARRIER INC. Business Address: 3291 S. Highway 99 Cross St DBA Mailing Address: PO Box 30550 City: STOCKTON State: CA ZIP: 9521 Phone #: 209 944-9565 Assessor Parcel Number(s): Cl D ' Z Email: dflynn@hwysfty.com Other Businesses at this Address: Previous Business at Address: 1175 GREENVILLE RD, LIVERMORE CA 94550 Type of Business: HIGHWAY CONSTRUCTION Type of Organization: ❑ Single Owner ❑ Partnership ET Corporation ❑ Other. Estimated Number of Full Time Employees: 60 Estimated Number of Part Time or Seasonal Employees: Applicant Last Name: FFITNGER Applicant First Name: CLARK Applicant Malling Address: PO BOX 30550 Stockton CA 95213-0550 city STOCKTON IState CAI zip 952311 Applicant Phone No: 209 944-9565 )Water Supply: ❑Public On-site Well Sewage Disposal: ❑ Public Septic System Will there be any sale of firearms? ❑ Yes No NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. I, affirm, all the above infor a ion t rue and correct �/�5.�\J Applicant's Signature:—CIL rvJ� � Date: / 5 / i q / 2Co9 / u ' f TE\EF`OSE ONLY GIP Designation: Zoning: , Use Type: CAv� ,Sa— DEPARTMENT APPROVED DENIED DATE Development Services /r Planner Name: Building Inspection Environmental Health Div Fire Warden Public Works M.H.C.S.D. Sheriff (Junk Dealers Only) License Approved For: S U Remarks: Pill 0a:bD3a-r Occ. Grp. Accepted as Complete: Date: F:1Dev5vcNPlann1ng Application Forms%Business License (Revised 01-16-06) Page 2 of 8