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RECIEVEDWFI LI I — BUSINESS LICENSE <br /> AUG 3 1 2009 ffNaIMT COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> USINESS LICENSE No. , <br /> munity Developme nib Development 1!p <br /> TO BE COMPLETED PLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: F & H Construction <br /> Business Address:4945 E. Waterloo Rd. cross St Chert' land <br /> DBA Mailing :PO Box 55245 City: Stockton State:CAZJP' 21 <br /> Ph #: 209-931-3738 Assessor Parcel Num s): • <br /> Email: •mut' h f– n t.com <br /> Other Businesses at this N/A <br /> Previous Business at Address: <br /> Type of Business: CQ11tractors <br /> Type of Organization: ❑ Single Owner ❑ Partnership X,$Corporation ❑ Other: <br /> Estimated Number of Full Twne Employees: 195 Estimated Number of Part Time or Seasonal Employees: none <br /> Applicant Last Name: Jones Applicant First Name: Harold <br /> Applicant Mailing Address: 584 N. Hewitt Rd. <br /> Citi Linden I State CA j ZIP 95236 Applicant Phone No: 209-423-2154 <br /> Water Supply: []Public 9 On-site Well Sewage Disposal: ❑ Public 4T Septic System <br /> WEII there be any sale of firearms? ❑ Yes RX No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> 1,ail®®Bm,all the above in rination is a and V t Date. <br /> August 26, 2009 <br /> Applicant's Signature <br /> STAFF USE ONLY <br /> GIP Designation: , Zoning: – Use Type: <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Panner Name: <br /> Building Inspection <br /> Environmental Health Div ~ <br /> Fire Warden <br /> Publlc Works <br /> M.H.C.S.D. D L 4 <br /> Sheriff(Junk Dealers Only) <br /> License Approved For. Luua <br /> EWIgONMENTALIjEALTH <br /> Remarks: <br /> •� ugm—y . <br /> Ocx.Grp. <br /> Accepted as Complete: Date: <br /> F: vdFianning Application Formsftsiness License(Revised 03-09-09) Page 2 of 7 <br />