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When viewed and approved, please re a to: <br /> X TSan J"Kquin county-Comounity DeveloPMONC <br /> t <br /> 1810 E. Hazelton Street <br /> Stockton, CA 95205ESS LICEN <br /> 4ri <br /> Attn: - nde 46813a� kkin.11L i i y u I=v It LO f T <br /> ��Ull I I %lummu <br /> B.L. NO. WIG, 10 11 - TH <br /> RECEIPT NO. "0 EMP11E�OMWAILl'I I/\ <br /> R 11 SERVICES <br /> 1 <br /> FEE: (fD 1 YR. 3 YR. <br /> R111 HIM* <br /> Other Businesses at <br /> Phone: e1*,q1q) I Assessor Parcel Number(s): <br /> Mailing Address: <br /> Type of Business: `/`2�el ,) e�,hA Ale Q <br /> Type of Orgnnizallon: SingleOwner0 Partnership 0 Corporation 0 Other: <br /> Estimnled Number of Full Time Employees: Estimated Number of Part Time at Seasonal Employees: <br /> Owners) Name: <br /> Owner(s) Address: <br /> Manager's Name: <br /> Previous Business at Address: AJ 22 '(22 -1) '25 <br /> Other Local Business Locations (Address): Abll�l <br /> Water Supply: 0 Public �( On-site Well Sewage Disposal: 0 Public Septic System <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? 13 Yes Af No <br /> NOTE: ANY CHANGE,OFfCCUPANY WILL RRUIRE BUILDING INPROVEMENTS AND NECCESSARY BUILDING PERMITS. <br /> Applicant's Signature: - L —I I jz)Llqo ')—at,: S?- <br /> .......... <br /> X, I <br /> General PInn Designation: AAS- Zoning: -(t) I Code Section Number: <br /> DEPARTMENT APPROVED DENIED I B-y pt DATE <br /> Development Services <br /> Building Inspection <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sheriff(firearm sales only) <br /> Fire District 1,1/•"41'el"?c <br />