Laserfiche WebLink
fa <br />,....`6100 1-\ 6 <br />Aeleirass <br />k -L1510 <br />en-lretissanj owner, can ami pmvide the ne.tessaryTaollliies 7or the above mange <br />I }led vehicle at uny commissary e5 chetgEed iBtow <br />Site Address: <br />Owner R. C e1 /4 -M-eici <br />CA <br />r_ of e role 0 erator <br />'.c.;-0/agnatilEttii\VOkfiliefit <br />Business Name: <br />.1=.- <br />Phone: (Z54) fel, <br />Liquid &solid waste &mai Utensil waging sink <br />(20r3 emnigariThents) VA 0 Store frozen fond <br />Pre aralian of feud 14 Hot & (mid water for eleanikA tu Toilet & hmel <br />potable wabr Overnight parking ry foneJsuppli <br />VehIcievrash facibles - <br />ILI Slomreitteratti farid <br />Adequats dee:Tied add -ra <br />/4./' <br />igtltur f0 Izmir Oi Op <br />HefALTEI O&M:Mg:M.7-f <br />- <br />" z-Date w1M70:..A111.11,1 .a <br />VERIFICATION OF VEHICLE CONIESS IRY <br />Pleats proiacisall kaormelion requested. An incomplete application may de/ay appreval. <br />F2H-g.pEOWOORkwiejvH:-_ <br />Vehicle Mame PEN: aa-1 <br />Ackiress cle?te) <br />SYMAtithess• FO-a <br />h <br />t‘Yi- 6701.1 , <br />7-Xr <br />i} Plate #7, -4.7 4PS f3g- 4) Year: <br />23 Vehicle Vin#: / cil)E,26;,241Ffe.)iC; makefiviodei: <br />stg.. Decal #: (1 -4 6) Color: <br />.-VgHBOLE <br />Name: <br />Addren a? OINFI@F: <br />Ulf:Mk minEktidge: , <br />qI Etmt <br />mobiie food f2@litEy shall opera-is cat aa azamissegy and shall repoztto the tominiesary at least oneteeaeh - 5-?p, grzZing day fer glenriing End miriging (CgIG©tita milons 11429? z1142.9?). If the use e the Gonainisi4ry le 5 IZUD31%111.1SZt, tTra laDmit mew must atnity this ofte te make the ille-08SeaFli changes. Failure tz ca rad* ei.1* gi'fice gy rezaltin permit 7:71ro dim anti penalffee. <br />IP the- cornmaiaagrylfooil tmtablishinent Enattle San Joacn Caentsr, ie loca3 ilearr.kimiediedon mastireffy carmst. healah p.synik.st.,--A7n-T. below_ -.f.,40573..- miss-dry-Rood esimbilsinnerd is in <br />Signtureof County PERS Date <br />END le-017 <br />Tfietaille are MFPLJAPPLICA.TIOM