Laserfiche WebLink
' SSS APPLICATION-BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> S//6/o0 <br /> BUSINESS LICENSE NO. 100- ,aD <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> 7 <br /> (� Business Name". tVL fn� �,!� X37 V{��--�_�� li.q� ' DBA(if different): <br /> -' Business Address: S e,rc/'i J Cross St.: i <br /> Ther Businesses at this Address: <br /> Phone: 2oq' - Assessor Parce/Number(s): I l V <br /> Mailing Address: <br /> Type of Business: m L4 c <br /> r� <br /> —Type of Organization: til"Single Owner ❑ Partnership ❑ Corporation ❑ Other., <br /> Estimated Number of Full Time Employees: Es(/mafed Number of Part Time or Seasonal Employees: <br /> uslness owner(s)Name: , -1.11 YZ-L" J- ) ,, -�.:-.---C l / <br /> uslness Owner(s)Address: 'b I G'�fry c <br /> anager's Name: j•�11"'t �r <br /> Copy revlous Business at Address: S` f (-7 <br /> �- �) •"T j 7 <br /> [her Local Business Locations(Address,): <br /> ater Supply: ❑Public 9 On-site Well Sewage Disposal: ❑ Public Septic System <br /> ill there be any sale of firearms? ❑ Yes No <br /> OTE:ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Signature: 4� > „ ` <br /> Date: <br /> STAFF USE ONLY <br /> . FYI eneral Plan Designation: G zoning: C- <br /> DEPARTMENT APPROVE D DENIED BY DATE <br /> Development Services -DO <br /> wilding inspection <br /> Environmental Health Div <br /> Fire District <br /> lrPollutionControl dst <br /> Enforcement Officer <br /> heriff <br /> License Approved For: 0 <br /> Remarks: r10 -{-d (r"' <br /> Accepted as Complete: Date: <br />