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gas"n. APPLICATION — BUSINESS LICENSE <br /> y <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1s, BUSINESS LICENSE NO. 13Z 'y5-0 d 33 z- <br /> 2005 OCT 14 PM : 00 <br /> rte' <br /> 4y <br /> Business Name:--r \ Lo CL <br /> Business Address: 2_4?pW Cross St <br /> DBA Mailing Address: �" n City: +,c" State: CA . Zfq- &Z1 S <br /> Phone#: ZD'I - L3k - fopD -� Assessor Parcel Number(s): to - <br /> Other Businesses at this Address: <br /> Previous Business at Address: F <br /> Type of Business: L,I yL-T-d <br /> Type of Organization: Single Owner ❑ Partnership ❑ Corporation ❑ Other. <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Applicant Last Name: j l,� 'i Jam. Applicant First Name: �- <br /> Applicant Mailing Address: f Obi t % Uievc,04-e-- l]i lotff <br /> City I State Cif"• .1 ZIP Applicant Phone No: p 0-7 -2-8 <br /> Water Supply: ❑PublicOn-site Well Sewage Disposal: ❑ Public [I Septic System <br /> Will there be any sale of firearms? E] yes <br /> No <br /> E <br /> CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> the above Information Is true and correct Date: <br /> gnature: <br /> STAFF USE ONLY <br /> G/P Designation: G Zoning: _ 'S Use Type: <br /> DEPARTMENT APPROVED DENIED DATE 9' <br /> Development Services t/ Planner Name: <br /> Building Inspection v� <br /> Environmental Health Div v-(i(- 5 <br /> Fire Warden <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> M.H.C.S.D. <br /> License Approved For: <br /> 4"-10 Ski Y) <br /> Remarks: <br /> Occ,Grp. <br /> Accepted as Complete: Date: <br /> F:\DevSvc\Planning Application Fonns\Business License(Revised OM1-05) Page 3 of 8 <br /> n <br />