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I <br /> ,r <br /> SAN JOAQUIN COUNTY Control No. <br /> Date License Issued <br /> BUSINESS LICENSE APPLICATION <br /> 8. L. No. - <br /> Receipt No. <br /> �oR4 f,•coG Fee _ L`T Yr. 3 Yr,P <br /> Business Name: - C � '?rUi' �d t ` �. ►�." Phone: <br /> Business Address: ! t: 4. `�` ' 'i <br /> Other Business at Address: `""" Ili =n I�i ---' <br /> Assessor Parcel Number(s): <br /> Mailing Address. >QC��„ � s r`• 'i� t ' j��:�..� �" C-i <br /> Type of Business: 11C li,,s-i �1P) S f <br /> 1 <br /> I <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes 'No (If yes, Sheriff's Office <br /> review is required.) i <br /> Type of Organization: ❑ Single Owner, ,� Partnership, ❑ Corporation <br /> Estimated Number of Employees: cl — Ful l time, Part time or Seasonal <br /> Owner(s) Name: +�• , ,<;:� .�, L� ' r�� �� <br /> Owner(s) Address :u i . � i.. ���:c' f 7-it�i�.. UTILITIES <br /> Manager's Name: J C c, s`. :5~141 y -'�i'i._1 r,; `''' c., .f ;.�,t WATER: Public ❑ Welles' 1 <br /> Previous Business at Address: Aci, Sanitary: Public ❑ Septic <br /> Other Local Business Address{es): <br /> Applicant's Signature; Date: <br /> STAFF USE ONLY 1 <br /> Zoning: Section No.: "l 3 S 5'`'j General Plan: ,,, t <br /> Department Approved Denied By Date <br /> Planning Division El <br /> Building Division ❑ ❑ j <br /> Fire District ❑ ❑ <br /> Public Works ❑ ) ' k <br /> Environmental Health ❑ ���9 <br /> ; <br /> Air Pollution Control Dist. ❑ ❑ <br /> Sheriff (firearm sales only) ❑ ❑ <br /> License Approved For: ��=� a_ <br /> i <br /> Remarks: !. F.. G 4s <br /> I <br /> Accepted as complete on: By: <br /> I <br /> Copies: WHITE-Planning, BLUE-Building, GREEN-Fire District, GOLDENROD-Public Works, PINK-Enviromental Health, CANARY-APCD PLANNING 21 (12188) <br />