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APPLICATION - BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> B.L. NO. <br /> RECEIPT NO. <br /> FEE: I YR. &xRf <br /> NOW., <br /> T4 0E BY THeAppUGANT pmol Tb WIN THE Apl'WCATtAIY <br /> Poo"#0 <br /> Business Name: ALT—woDBA(ff different): <br /> Business Address: S .UfuSi6er,(� S-tocklur) cril"t <br /> Other Businesses at Address: <br /> Phone: .209.,iK Assessor Parcel Number(s): <br /> Mailing Address: <br /> Type of Business: CL4"c Ovy,,Aa.—( <br /> Type of Organization: 0 Single Owner D Partnership 9t Corporation 0 Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s) Name: kw t, c4i <br /> Owner(s) Address: 0(.5? S. L;. L <br /> Manager's Name: <br /> • <br /> Previous Business at Address: <br /> Other Local Business Locations (Address); <br /> Water supply: 0(Public 0 On-site Well 59wage Disposal: XPublic 0 Septic System <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? 0 yea MNo <br /> NOTE: ANY CHANGE OF OCCUPANCY WILL REQUIRE BUILDING INPROVEMENTS AND NECCESSARY BUILDING PERMITS. <br /> Applicant's Signature: /)all ej," <br /> .AFS R <br /> General Plan Designation: Zoning: Code Section Number: ,;' <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services X <br /> Building Inspection <br /> En0onmental Health Div 9 3 <br /> Air Pollution Control Dist <br /> Sheri" (firearm sales only) <br /> Fire District <br /> License Approved For: <br /> Remarks: /w ch-H-, <br /> Accepted as Complete: Date: <br /> Copies:WHITE-Development GREEN-Building,CANARY-Fire District, PINK-Environmental Health,GOLDENROD-APCD <br /> PA—BLLG Rev. September 2,1992 <br />