Laserfiche WebLink
APPLICATION — BUSINESS LICENSE <br /> 2 r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 2006 AUG 23 AM t1s 51 BUSINESS LICENSE NO. b �- -c> L 0'p�-� � <br /> cqG F O Ra`4 <br /> TO BECOMP ` L. T;PRIOR TO FILING THE APPLICATION' <br /> Br�sirwss Information <br /> Business Name: IIRE <br /> C' <br /> Business Address Cross St A p, <br /> F 5 Mailing Address: City: ( State: ZIP: <br /> Phone#: TOO, - SCJ !yl�s cx:> Assessor Parcel Number(s): ��"l - �(�( 0 2(� <br /> Other Businesses at this Address: <br /> Previous Business at Address: <br /> Type of Business: A F j <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 /> Applicant Last Name: /1 Applicant First Name: <br /> Applicant Mailing Address: C V V- ` , S-r <br /> City jRummState C 1 ZIP 9 Applicant Phone No: <br /> Water Supply: ublic ❑ On-site Well Sewage Disposal: Public ❑ Septic System <br /> Will there be any sale of firearms? ❑ Yes No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I, affirm,all the above information true and correct Date. (,, <br /> Ap ' nt's ature: �I�C,to`o <br /> STAFF USE ONLY <br /> G/P Designafion: Zoning: t?5 `¢ Use Type:/r�) b L <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: -1 -a G <br /> Building Inspection <br /> Environmental Health Div !� 4i' <br /> Fire Warden <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> M.H.C.S.D. <br /> License Approved For: l }� <br /> Remarks:T 1 YL, S to V_4 V <br /> IV � r>)-j V ILcV" Itis S' � ��S � '-1v ^u4V )z) <br /> In_L l_ �(/D'>✓ — 1'S�� Z'Yl_}��� Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:\DevSvc\Planning Application Forms\Business License(Revised 10-20-05) Page 3 of 8 <br />