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1 / <br /> �Iwlllrlzia <br /> o4 <br /> APPLICATION - BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DE M T <br /> '� •o�j F d.��a <br /> B.L. NO. L _ C�3— AR 1 <br /> RECEIPT NO. fl ENVIRONMENTAL\JIHAlk AIT I E <br /> FEE: pO 3 YR. <br /> ::;:>:;>::<;:::<::::;:.>::::;RM <br /> ,GQIF'1. f >.�Y::TFi :ApI�:UC. N :.,.... ....: :.:T`pFt1�i�:B'CQ.. �;.............::....:...,.. ....................................................... f�`1!7p-_�7-7_�Business Na ��°�f}i DBA(if different): <br /> Business Address: O �2o1L rD��� <br /> Other Businesses at Address: <br /> Phone: C <br /> ` Assessor Parcel Number(s): <br /> Mailing Address: �S d �� � Q—rl ��M 'c�L J_() , <br /> Typo of Business: <br /> Typo of Organization: ❑ Single Owner Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal <br /> ^Employees: <br /> Owners) Name: CILA P,J ( _r . S H C A �C-t I Ll__ 4 S�� �T�1`►�(� Off <br /> Owner(s) Address: C yl-)CC_, TO <br /> Mannger's Name: <br /> Previous Business at Address: <br /> Other Local Business Locations (Address): \, <br /> Water Supply: UR/Public ❑ On-site Well Sewage Disposal: ePublic ❑ Septic System <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yoe WN, <br /> NOTE: ANY CHANGETy OCCVPANCY WILL REQUIRE BUILDING INPROVEMENTS AND NECCESSARY BUILDING PERMITS.ILL <br /> Applicant's Signa tu / �ul <br /> (dC Q.(A.• Date: <br /> 77 <br /> F,5,•U S70NLYx i3� yr_... f3 } 10 <br /> General <br /> ,! .y.. 'd• ';: <br /> .. <br /> General Plan DesIgnatlon: G Z«W,o, Code Section Number:47.Ik <br /> DEPARTMENT APPROVED DENIED <br /> OATS <br /> Development Senrlcoe <br /> Building InspeoUon . .t d <br /> of <br /> t„efl"O1M r�,'€' <br /> Yf1RII11 proomsaw 0* Y,Y4 � SjrYk vh ,4♦�.ff 4.� h. :k <br /> fir.. •; .ti "• i. by , ,' ^, ,xy.1� ?� <br /> r•� " y@IJ.A,, i 8 '.S <br /> Lie~Approved For, <br /> I z -, W e,,* 4vstLe — 4L4-0 <br /> Remorks: <br /> r <br /> „ e <br /> Accepted as Complete: <br /> Copies:WHfTE•Development,GREEN-Building, CANARY-Fire Distrl rlro ,GOLDENROD-APCD <br /> PA BLLO Rev.September 2,1 M <br /> t <br /> 1� <br />