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ftLv - v n� <br /> SA'R JOAQUAN COUNTY <br /> Batt License Iswed <br /> BUSINESS LICENSE APM1 ATION B. L. No <br /> Receipt No. <br /> Fee. ---M.Q 3 Yr. <br /> L <br />� x <br /> Business Name: ''7 l .'E - cr. j ' r. }: rc t; i r Phone: <br /> Business Address: g(0 G 4 1.rr. .—!LQ Vf <br /> Other Businesse fat Address: 4a- <br /> Assessor <br /> Assessor Parcel Number(s): J 7 d <br /> Mailing Addres9 JC-•�A. /` ''r< ._b hie CA <br /> Type of Business: ,-(k K •I r • P rX• <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? [-]Yes ❑ No (If yes, Sheriff's <br /> Office review is required.) <br /> Type of Organization: ❑ Single Owner, ❑ Partnersh,ip, orporation <br /> Estimated Number of Employees: / 2 Full time, t 7 PParrt�1Ame or Seasonal / <br /> Owner(s) Name: ✓ /!jI f/ A7 00 o4 <br /> Owner(s) Address: (•G i'r ..r-/,?Ye <br /> l <br /> Manager's Name: <br /> Previous Business at Address: <br /> Other Local Business Address(es): <br /> STAFF USE ONLY <br /> - '• i I <br /> j <br /> Zoning: G,' Section No: General Plan: Lrgrfi rY f j �.• r +t <br /> i <br /> Department Approved Denied By /Date <br /> Planning Division 0 ❑ ) r 's.r;A�n J! C/ / i. ' <br /> - <br /> Building Division ❑ ❑ <br /> Fire Warden ❑ ❑ <br /> Public Wprks ] ❑ �l <br /> Local Health District ❑ <br /> Sheriff (firearm sales only) ❑ ❑ <br /> Remarks: �..- � �✓ <br /> Accepted as complete on: By: <br /> Copies: WHITE-Planning, BLUE-Building, GREEN-Fire Warden, GOLDENROD-Public Works, PINK-Local Health District, CANARY-Applicant <br /> ® PLANNING-21 l2/9el <br />