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~ C <br /> ARPLICATION - BUSINESS LICENSE <br /> SAN AQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> l9I1II <br /> •'.�q C%FOR ��Iv \yv <br /> JUL 02 � V <br /> w B.L. NO. <br /> RECEIPT NO. <br /> EN i'dif i`, 'L N_r'LTH <br /> PERMIT/SEicVICES FEE: 1 YR. 3 YR.,X, <br /> t+w.r..a..r <br /> s 'fa s��oMcl�r�t��Paul4arar�rao�txoft�a�roTl��at>PClcar►or�.- �,y� <br /> .. :; 'Bu3utess uttonsaa«r ; <br /> ( i t, f l, f r; F al <br /> Business Name: � � ! /r1` DBA(A different): �705- <br /> Owner(s) <br /> Business Address: ti 7l. r N� t��- '� ,r �'f/rr{ if /�l r'1 `'1Other Businesses atAddress:Phone: !-�/ /, —� Assessor Parcel Nummber(s): - ' 1 ;`1 7 <br /> MailingAddress: Y 1"zX �`; Pf1 P A 'j`- c4Type of Business:Type of Organization: ❑ Single Owner WPartnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Name: <br /> Owner(s) Address: '7ci I I I TO LIPp E-e - I (Ii, 2253r, <br /> Manager's Name: (_/� r <br /> Previous Business at Address: T N L' !'A f-1 <br /> Other Local Business Locations(Address): ni("/\IC: <br /> Water Supply: ❑Public 'wOn-she Well I Sewage Disposal: 0 Public 1� Septic System <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes No <br /> i <br /> Applicant's Signature: y i � 1 Date: <br /> f.. "'S CAS tJ ` :taNtRY <br /> General Plan Designation: L Zoning: All- Code Section Number: )- <br /> i <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services <br /> Building Inspection - <br /> Environmental HeaRh Div 7-30- <br /> Air Pollution Control Dist - <br /> Sheriff(firearm sales only) <br /> Fire District <br />