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Za+�!n. <br /> :4 APPLICATION - BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> B.L.NO. <br /> rY RECEIPT NO. <br /> FEE: 1 YR. ) 3 YR. <br /> s TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name. 7,A!q /3 t7 rJ DBA(Iif different): <br /> Business Address: ,,,wF. - ( -'J • <br /> Other Busine;ses at Address: <br /> Phone: y63' -1/73S ^ AssessParcel Number(s): � <br /> Mailing Address: -On .Ns � 4 <br /> Type of Business: _ Q r, <br /> ,in A,) I �O 0o2 1,f2 S7y-,,, -C, 7-121C T. <br /> Type of Organization: Single Owner ❑ Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s)Name: �� u ry T <br /> Owner(s)Address: <br /> Manager's Name: i�1' re i. ) <br /> Previous Business at Address: <br /> Other Local Business Locations(Address): <br /> Water Supply: ❑Public ❑ On-site Well -Sewage Disposal: ❑ Public ❑ Septic System <br /> Will there be any retail sales of pistols,revolvers or other concealable firearms? ❑ Yes No <br /> Applicant's Signature: <br /> Data:3—S- 93 <br /> STAFF USE ONLY <br /> General Plan Designation: I I _ Zoning: t. Code Section Number. I - <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services <br /> Building Inspection <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sheriff(firearm sales only) <br /> Fire District <br /> i <br /> License Approved For: <br /> Remarks: <br /> Accepted as Complete: Date: <br /> Copies:WHITE-Development,GREEN-Building,CANARY-Fire District,PINK-Environmental Health,GOLDENROD-APCD <br /> PA BL.LG Rev.April 28,1992 <br />