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'USAN JOAQUJN COUNTY control No. <br /> Date License Issued <br /> BUSINESS LICENSE APPLICATION B. L. No. j <br /> Receipt No. <br /> 411 H �, � / i <br /> �a 'cAti !i 1 jI Fee 1 Yr. 3 Yr.ED <br /> iFpYRa�! <br /> Business Name: LV A--re k_L0t0, S k E Phone: q3 j--&07q <br /> Business Address: L44-J 1q r Wi/-)-j k L, D D <br /> Other Businesses at Address: D <br /> Assessor Parcel Number(s): <br /> Mailing Address: "t3 hrS_ LF P—LO D <br /> Type of Business: 5C—P, 1) S M RkO 0 <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes E]qNo (If yes, Sheriff's <br /> Office review is required.) <br /> Type of Organization: Single Owner, ❑ Partnership, ❑ Corporation <br /> Estimated Number of Employees: Full time, Part time or Seasonal <br /> Owner(s) Name: <br /> Owner(s) Address: <br /> Manager's Name: <br /> Previous Business at Address: <br /> Other Local Business Address(es): <br /> Zoning:. !�f Section No: '� - General Plan: <br /> Department Approved Denied By Date <br /> Planning Division 0 ❑ <br /> Building Division ❑ ❑ <br /> Fire Warden ❑ ❑ <br /> Public Works - ❑ ❑ <br /> Local Health District ❑ <br /> Sheriff,(firearm sales-only)'" <br /> ❑ ❑ <br /> . i <br /> Remarks: /Glutloy ��oO> / /ear <br /> I� <br /> kk <br /> f <br /> 4 <br /> f . <br /> Accepted as complete on: By: <br /> Copies: WHITE-Planning, BLUE-Buildi 'REEN-Fire Warden, GOLDENROD-Public Works, -Local Health District, CANARY-Applicant <br /> ® PLANNING-21 (2/8E) <br /> IF <br />