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`X7-! <br /> oa41 •.., APPLICATIO — BUSINESS LICENSE <br /> r; SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUG 1Q2015 <br /> BUSINESS LICENSE NO. _//,,/���—��T V b Q �� <br /> �'y;; •NP ENVIRONMENTAL HEALTH <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: Louis Rivera Trucking, Inc. <br /> Business Address: 2715 1 Snydl Cross St Waterloo Rd./HwV88 <br /> DBA Mailing Address: PO Box 1121 CitY: Linden I State: CA ZIP: 95236 <br /> Phone#: 209-887-2725 Assessor Parcel Numbef(s): I D 1 — 03-2 <br /> Email: N/A <br /> Other Businesses at this Address: None <br /> Previous Business at Address: None <br /> Description of Business operation:: Storage Of one agricultural truck and two trailers. Existing permitted shop building will do <br /> some general maintenance of the truck and trailers. <br /> Type of Organization: ❑ Single Owner ❑ Partnership IN Corporation ❑ Other. <br /> Estimated Number of Full Time Employees: 2 Estimated Number of Part Time or Seasonal Employees: 0 <br /> Applicant Last Name: Rivera Applicant First Name: Fernando <br /> Applicant Mailing Address: 2715 N. Sn der Lane Stockton CA 95215 <br /> City Stockton State CA I ZIP 95215 Applicant Phone No: 209-887-2725 <br /> Water Supply: ❑Public tK On-site Well Sewage Disposal: ❑ Public 29 Septic System <br /> Will there be any sale of firearms? ❑ Yes [K No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I,affirm,under penalty of perjury that all the above Information is true and correct Date: <br /> I,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its <br /> agents,officers and employees from any claim,action or proceeding against the County <br /> arising from the Own/?Aent's projecct(t. <br /> Applicant's Signature: <br /> STAFF USE ONLY //� <br /> GIP Designalion: C. Zoning: (�( — Use Type: Y)�-U G4 /a /µ [.K 11a •!/r 2 <br /> DEPARTMENT APPROVED DENIED DTE <br /> Development Services ✓ Planner Name: <br /> Building Inspection - <br /> Iv <br /> Environmental Health Div St(QD/QS9 II /.S <br /> FireWarden <br /> Public Works <br /> M.H.C•S.D. <br /> License Approved For. p <br /> C /A *'Yf -1- Lit CIS <br /> Remarks: <br /> /Y7G 'r' <br /> Ooc.Grp. <br /> Accepted as Complete: I Date: <br /> F/ApplicationsFormsBHandouts/PlanningApplications/Business License(Revised 02-24-15) <br /> Page 2 of 6 <br />