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,, lq-rl <br />APPLICATION — BUSINESS LICENSE <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />BUSINESS LICENSE NO.� <br />TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br />Business Information <br />Business Name Pioneer Americas, LLC dba Olin Chlor Alkali Products <br />Business Address 26700 S Banta Road <br />Cross St 11'h and Banta <br />DBA Mailing Address 26700 S Banta Road <br />City Tracy <br />State CA <br />ZIP 95304 <br />Phone # 209-835-5124 <br />Assessor Parcel Number(s) 252-150-08 <br />Email ekmuseC@olin com <br />Other Businesses at this Address Quality Carriers <br />Previous Business at Address Pioneer Americas, LLC <br />Description of Business Operation Bleach Manufacturer <br />Type of Organization ❑ Single Owner ❑ Partnership El Corporation ❑ Other <br />Estimated Number of Full Time Employees 28 <br />Estimated Number of Part Time or Seasonal Employees 0 <br />Applicant Last Name Muse <br />Applicant First Name Elizabeth <br />Applicant Mailing Address 26700 S Banta Road, <br />City Tracy <br />State CA <br />ZIP 95304 <br />Applicant Phone No 209-835-5124 <br />Water Supply ❑Public E On-site Well <br />Sewage Disposal ❑ Public Septic System <br />Will there be any sale of firearms? ❑ Yes E No <br />NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br />I, affirm, under penalty of perjury that all the above information is true and correct <br />I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its <br />agents, officers and employees from any claim, action or proceeding against the County <br />arising from the Owner/Agent's project. <br />Applicant's Signature <br />Date <br />Ips <br />STAFF USE ONLY <br />GIP Designation 1 � <br />� Zoning �X% _� � \ Use Typef ,'1 �, j 1 V 't <br />DEPARTMENT <br />APPROVED <br />DENIED <br />DATE <br />Development Services <br />Planner Name: <br />Building Inspection <br />I <br />Environmental Health Div <br />Fire Warden I ' <br />Public Works <br />M H C S D <br />License Approved For: <br />Remarks: �1 0 -, <br />.J <br />Occ Grp <br />kDevSvc\Planning Application Fork\Business License (Revised 01-25-10) Page 2 of 7 <br />