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Gln , � <br /> Z <br /> APPLICATION—BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVLEOPMENT DEPARTMENT <br /> BUSINESS LICENSE NO. L- 0 3- <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> < ` Business Information <br /> Business Noma: YS / DBAIldlNerant: <br /> Buslnass Addross: s / )v Cross St: kr ✓\ <br /> Other Buslnas es`.nf lhls Addrea • �d ��/ p <br /> Phone e: 'g y )l S ��Z y Assessor Parcel Number(s): L D -I <br /> Maltln Address: <br /> Type of Business: /7 <br /> T e of Or anhat/on: !n le Owner O Part hl OdIonflon O Other: <br /> Estimated Numberof Fullrinn Em to ccs: Estimated Number of Part Tlme or Seasonal E to ccs: <br /> Business Owners Mme: C,AJ <br /> J 7 -- <br /> / <br /> Business Owners Address: �>�C <br /> MenaiPrevious Business at Address: Sljl <br /> Other Local Business Locations(Address): <br /> Wafer Su 1 : OPubllc O On-site Well Sewa a Disposal: O Public O Septic System <br /> Will there be any sale of Tireams? O Yes <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY R QUIRE BUILDING IMPROVEMCNISA VNECESSARY BUILDING PERMITS. <br /> ApplicantR Signature: Data <br /> STAFF USE ONLY ' <br /> DIP Deal nallon: Zoning: Use Type: <br /> DEPARTMENT APPR VED DENIED DATE <br /> Development Selvlces Plannor Name: J Q3 <br /> Building Inspection <br /> Environmental Health Dh, - <br /> Fire District TRACY <br /> Public Works <br /> Solid Waste <br /> Entme.menf Omce• <br /> Sheriff <br /> Llcensn roved For: I r u. <br /> J� <br /> Remarks: PiL L- '�11`(. OL L64 <br /> l <br /> Accepted as Complete: Date: <br /> evsuc.o.ron,,..v.aAYA, <br /> 3 <br />