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� �=k''-'--" r APPLICAT BUSINESS LICENSE <br /> 4WAN JOAQUIN COUNTY COMMUNITYqWLOPMENT DEPARTMENT <br /> ripe <br /> BUSINESS LICENSE NO. (I✓o� <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information - -- <br /> Business Name: V S I ry TE c- I <br /> b OBB tiff different: <br /> 1 <br /> Business Address: 3 3 o l,j • N A V o!� E P, -S 7N <br /> th C K 7th • C .4 - 15.2 1 �5 <br /> Other Businesses at this Address: <br /> Phone: (Z J,�l ) q 3 1 — f2 7 /—7 <br /> Assessor Parcel Numberls): <br /> Mailing Address: 33cl rj 1,.!AVGAit ,e c, .9 D, S?oc,e7-o,�1 CA - 17.5215- <br /> T e of Business: �f u cc I N ,-vl A N U ri c T <br /> Type of Orcanitation: C Single Owner ❑// Pannershic Corooration C Other: <br /> Estimated Number of Full Time Emolo ees: C.7 Estimated Number of Part Time or Seasonal Emolo ees: <br /> Business Owners)Name: <br /> Business Owner(s)Address: �r <br /> Manacer's Name: k G'c9 <br /> Previous Business at Address: ` ( � <br /> Other Local Business Locations(Address): -i i A ' <br /> Water Suoolv: C Public On-site Well Sewace Oisoosal: C PublicE,Seotic System <br /> Will there be any sale of firearms? C Yes No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> h <br /> AoolicanCs Sicnature: <br /> a/LLC' "/• �% Date: — Z 57 <br /> / <br /> J / <br /> STAFF USE ONLY <br /> General Plan Cesicnation: Zoni= <br /> CEPART.MENT APPP.CVcO DENIED I BY DATE <br /> Development Services <br /> Building Insoecticn <br /> it x.-ironmer ta,Health ON <br /> II Fire Cis t:ict <br /> i Air Polludcn Cenvol Cis: <br /> Enfcrcgm ent rfpc.r <br /> sn..or torn+. ups enyt <br /> License Accroved For: <br />