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APPLICATION - BUSINESS LICENSE <br /> •. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �P <br /> B.L. NO. Z, 92 <br /> RECEIPT NO. <br /> FEE: Jib 1 YR. 3 YR. <br /> ..... .:. ::::.::...:. <br /> ..:::.;.:.::>.. >.;:: . PLICA Y F'R'1Qt Tt?'F1 Nd:YHE APP ICAt1t� t .::: <br /> >::. 1'f9r.GQIVTE'f �I:E IYTIEEAF'.... . .:N E.I <br /> ... _ <br /> .... <br /> 8us£rt")"totmaAl <br /> . :. <br /> Business Name: rrni—,L DBA(if different): <br /> Business Address: 2 n Ll C GZ D -C 6-2-Z D <br /> Other Businesses at Address: C Cr Wl VC> R <br /> Phone: Assessor Parcel Number(s): --170 0S" <br /> Mailing Address: Q , R I2 <br /> Type of Business: 14 v `V6 E= �' 42 a <br /> Type of Organization: ❑ Single Owner Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: l` Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s) Name: <br /> Owner(s) Address: C q• p Wea,,2!�eo, ZZ G7 \ <br /> Manager's Name: <br /> Previous Business at Address: <br /> Other Local Business Locations (Address): AID <br /> Water Supply: ACPublic ❑ 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: Dater— <br /> General Plan Designation: �j� b� Zoning: — Code Section Number: _ <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services <br /> Building Inspection �7 <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sherif (firearm sales only) <br /> Fire District <br />