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ems" hPY.IN, . <br /> Q.�p.Cg4� <br /> APPLICATION-BUSINESS LICENSE <br /> w"^ir.oNr�� <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ,Q e �J BUSINESS LICENSE NO. L/1 D! —tea <br /> �l A <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> O <br /> Business Information <br /> Business Name: <br /> DBA If ifi ferent): <br /> Bpsiness Address: (It <br /> Omer Buslnesses at this Addre7` <br /> dS .J <br /> S31, <br /> Phone: 26 — Assessor Parcel Number(s): <br /> Medlin Address: <br /> T eof Business: <br /> i ao/Or an/zadon. Sln Ie Owner ❑ P.anemh!E ❑ Cor 22 110o ❑ Other: ��ryry <br /> Estimated Number of Full Time Em to ees: dunned Number of Part Time or Seasonal Em !o s: e�— <br /> Business Owner(s)Name: O <br /> Business Owner(s) Address: — v <br /> COP pmYl er's Name: <br /> Previous Business al Address: <br /> Omer Loca/Business Lacadons(Address): <br /> Water Supply, 0Public Omslfe Well Sewage Disosal: ❑ Public a tics stem <br /> Will mere be an sale of Brearms9 ❑ Yes No <br /> NOTE:ANY CHANGE OF OCCUPAN YMAY REQUIRE LLOING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. G <br /> Applicant's Signature: <br /> viae JJ2d. ✓a vy:AtSL MtIY+' - 7<NfY Y n��ib�.t Y 1 t:'.IZNSL Hm4y kt t �:.ie?M4 4m Y I <br /> TAFFUSE ONLY,,v"$ <br /> General Plan Deal nallon: Zoning: <br /> By DATE <br /> DEPARTMENT APPROVED DENIED <br /> Development Services ✓ 1 1`�'L/ �� <br /> Building Inspection <br /> Environmental Neagh Dlv <br /> fire District <br /> Air Pollution Conbol Dlat <br /> Enforcement 0111cer <br /> d SharlN <br /> LlcenseA roved For: r <br /> Remarks: 0 <br /> Date: <br /> Accepted as Complete: <br /> -2- <br />