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SAN JOAQUIN COUNTY Control No. <br /> f BtjpihmS LICEB L No.'APPLICATION Dale Li . Issued <br /> sgNlry;" �Gi v.,� r Receipt No. <br /> Fee 1 Yr.0 3 Yr.❑ <br /> Business Name: 5u,P tkf" A. fia b rn�%�j Phone:' t <br /> Business Address: ' '° ?7 A) b-d'w4a? 7)Q <br /> Other Business at Address: <br /> Assessor Parcel Number(s)" ,; <br /> Mailing Address <br /> Type of Business: <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes <br /> review is required.) p No (If yes, Sheriff's Office <br /> Type of Organization: tj(Single Owner, ❑ Partnership, ❑ Corporation <br /> k <br /> Estimated Number of Employees: Full time, rd Parttime or Seasonal <br /> `C Owner(s)'Name" C 'CAJ16 i)Itiiditt/,c (I <br /> Owner(s) Address: 5,;� C1 UTILITIES <br /> Manager's Name: I t1 ije,•1 L C tw,/r/ /1 i;fi�1,r!% WATER: Publics Well ❑ <br /> Previous Business at Address: [ �,' :r, ,� ' !� �f I k c%1 <br /> n Sanitary: Public* Septic <br /> ' <br /> Other Local Business Addresg(es): /)�rlc: <br /> Applicant's Signature: f s ,44-1, <br /> Date: <br /> STAFF USE'ONLY — <br /> Zoning: <br /> ONLYZoning Section No.: General Plan: <br /> Department ,Approved : Denied By <br /> - . Date <br /> n <br /> Planning Division ❑ <br /> Building Division !❑ ❑ <br /> Fire District ❑ r _, +fr 4 l'('.`.. -,_ – • I <br /> Public Works <br /> ❑ ❑ <br /> Environmental Health Diy. �I ❑ i✓ Z–//�9 <br /> Air Pollution Control Dist. ❑ ' =.f _ / : r <br /> Sheriff (firearm sales only) ❑ ❑ <br /> License Approved For. <br /> Remarks: <br /> Accepted as complete on: <br /> Copies:WHITE-Planning, BLUE-Building, GREEN-Rrq District, GOLDENROD.Public Worka, PINK-Environtentai Health Div., CANARY-APCD PLANNING 21 19,901 <br />