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SAN JOAQUIN COUNTY Control Na. <br />[Date License Issued <br />BUSINESS LICENSE APPLICATION B No. <br />Receipt No. J <br />>- . rr'•.o� Fee of _ 1 Yr. 0 3 Yr. <br />r.� <br />�iFOAN <br />Business Name: " !`v� 2 fC4— t <br />Phone: � _ t� � 7. <br />Business Address: I.�, i N* ,w �4,/I- •.._ c:i-� + 7" C,,,,),�,- <br />Other Business at Address: <br />Assessor Parcel Number(s): f - C. _s <br />Mailing Address: <br />Type of Business: j_ a • , , <br />Will there be any retail sales of pistols, revolvers or other concealable firearms? CI Yes ❑ No (If yes, Sheriff's Office <br />review is required.) <br />Type of Organization: ❑ Single Owner, ❑ Partnership, ❑ Corporation <br />Estimated Number of Employees: Full time, Part time or Seasonal <br />Owner(s) Name: <br />Owner(s) Address: i UTILITIES <br />Manager's Name: WATER-. Public ❑ Well fk <br />Previous Business at Address: Sanitary: Public ❑ Septic X" <br />Other Local Business Aodress(es): <br />Applicant's Signalure: <br />Date: <br />STAFF USE ONLY <br />Zoning: " a <br />Section No.: <br />General Plan: <br />Department <br />Approved <br />Denied <br />By, Date <br />Planning Division <br />Q <br />❑ <br />�,�— :�;' ; f ' f �,� r�VF V <br />Building Division <br />❑ <br />❑ <br />Fire District <br />❑ <br />❑ <br />Public Works <br />❑ <br />! . c� <br />Environmental 'Health <br />r <br />Lid <br />❑ <br />CGd �% <br />Air Pollution Control Dist. <br />❑ <br />❑ <br />Sheriff (firearm sales only) <br />❑ <br />❑ <br />License Approved For, <br />Remarks: <br />Accepted as complete on: <br />By: <br />Copies, WHITF-Planning, BLUE -Building, GREEN -Fire District, GOLDENROD -Public Works, PINK-Envuomenlal Health, CANARY-APCD PLANNING 21 (121881 <br />