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BUSINESS LICENSES A DANCEAWMIIS • <br /> PLE <br /> I-OR AE REVIEW AND RO SIGN V n6� )^ATION - BUSINESS LICENSE <br /> fon nrrnovnL 6 noUTE nAcK-fii�"' <br /> COUNTER CLERk WITHIN 5 DAYS, COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TIIANK YOU. <br /> �Q PT NO. <br /> �j✓ 1 YR, 3 YR. <br /> Y,�:aa £lm�� �� �x v.,r g�yyru�� (t sx�<o>t�" v S r <br /> ..- 31 £g' 3 ` �4 ax 3 a r? u �ir�;l-.1 <br /> Business Name: M i'dweA 14ead Se -vjce, DBA(If different):: / n <br /> Business Address: 406 -CCD// RJ• �J/ SToekkt) CR. •-J� / <br /> Other Businesses at Address: <br /> Phone:(103) 93/-6 8 Assessor Parcel Numbet(s): <br /> Melling Address: 40dil Y'/ecali ' 4�-5 S� da. <br /> Type of Business: r k- <br /> Type of Organization: 0 Single Owner Partnership CI Corporation ❑ Other: <br /> Estimated Number of Pull Time Employees: Estimated <br /> Number of Part Time or Seasonal Employees: / <br /> Owners) Name: r'C AQ -d <br /> Owner(s) Address: /DUI 41 %YJ C.-T• Q�/�TD �3��0 <br /> Manager's Name: /--Q,CE /l/ I N <br /> Previous Business at Address: <br /> Other Local Business Locations (Address): <br /> Water Supply: Public ❑ On-site Well Sewage Olsposel: E) Public Septic System <br /> WIII there be any retell sales of pistols, revolvers or other concealable firearms? O Yes , No <br /> Applicant's Signature::qy p Date: <br /> �y? '�uro��s..:F}s� }'. i XX <br /> �YI's �d1V, ��f §'o'e'c '3 .a`oa: '�'v <br /> General Plan Deslgnallon: Zoning: rn Code Section Number: - <br /> DEPARTMENT APPMOVED DENIED BY DATE <br /> y <br /> Development Services <br /> Building Inspection <br /> Public Works <br /> Environmental Health Div - <br /> _J <br /> Air Pollution Control Dist <br /> Sheriff (firearm sales only) <br />