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r <br /> 7-� <br /> u 71, <br /> APPLICATION BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> -�1508 <br /> 01 <br /> rSAESS LICENSE NO. C2f:2CZ2Q0 <br /> % F- I C A'-I <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> TO BE <br /> GTO I,,j tFs fx, kLx A1C - <br /> Business Address: 54q I F et- Cross St <br /> DBA Mailing Addrei-9:r54 Cl I W- T -5:T- City;! lya&l ZIP: <br /> Phone#: <br /> 6, -7 Assbssor Parcel Number(s): <br /> Email; r"I Y--r- Co) 5`b ncs C,r-e-05 . cor",l <br /> Other Businesses at this Address: rt <br /> Previous Business at Address: <br /> Type of Business: <br /> T— <br /> Applicant Type of Organization, ED Single Owner El Partnership --4a-Zorporation 0 Other <br /> Estimated Number of Full Time Employees; Estimated Number of Part Time or seasonal Employees: <br /> Applicant Last Name: 0 R Applicant First Name: C- <br /> Applicant MaiiingAddress: -7�3 6 3 �f ' : I <br /> City State ZIPOJA�7 yy, Applicant Phone No: (2-09) Z�62-- <br /> y <br /> p <br /> P <br /> p <br /> I <br /> 0 <br /> P <br /> m <br /> P <br /> 0 <br /> a <br /> lic <br /> a <br /> ca <br /> f <br /> to <br /> 0 <br /> n <br /> Estimated <br /> t <br /> Applicant <br /> r <br /> Lg <br /> N <br /> M <br /> a <br /> a <br /> u <br /> a <br /> n <br /> m <br /> LastIz, <br /> Name: <br /> n <br /> 0i <br /> _ty 0,_e <br /> W ater 8 <br /> pply, <br /> Water Supply: OP-ubllc 0 On-sit-Well sewage Disposal: ,E3-publj�� 0 Septic System <br /> Will there be any sale of firearms? El Yes 2--No <br /> NOTE: ANY CHANGE <br /> HANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPR0v5MriNTS AND NECESSARY BUILDING PERMITS. <br /> 1,affirm,all the above of r tion is true and coora <br /> Applicant's Signature'. L✓ --- /Zi <br /> STAFF USE ONLY <br /> GIP Designation: Zoning: Us® <br /> DEPARTMENT APPROVED DENIED DATE <br /> 'P Desi' <br /> DEPARTMENT E <br /> Designation: <br /> P <br /> above nf r <br /> KAR <br /> Development SONICeS Planner Name: <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> M.H.C.S.D. <br /> Sheriff(Junk Dealers Only) <br /> I-IoGnso Approved For. , <br /> Remarks: <br /> L) 000.Grp, <br /> Accepted as Complete: Date: <br /> F-.1Dev8vcw1annIng Application Forrns\Suslness License(Revised 05-01.08) Page 2 of 7 <br /> CO 'd L9: LL 8002 [Z onV 0L61.99V60Z:XBA 70d 10 NVA <br />