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oAquln <br /> Z <br /> APPLICATION-BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVLEOPMENT DEPARTMENT <br /> 9•C%F...R�j�P. <br /> BUSINESS LICENSE NO. <br /> T BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Buslne s Name: T /� 5• IDD?( <br /> I different <br /> Buslne Address: SI�o/ lU. /i $f Cross St: <br /> i <br /> Other Bi s/nesses at this Address: <br /> Phone LOCI 1,3 1 Assess orParcetNumber(;):7- D•' •O'L <br /> Mallin Address. <br /> T o o1 slness: Tnl 41— <br /> T e o/ r anizatlon: Single Owner O Partnersh/ Oc0poratlon 0 Other. <br /> Estimate Y Number of Full Tlme Employees: 3 Estimated Number of Pant Time or Seasonal E to ees: <br /> Business Owners Name: (� - <br /> Business Owners Address: <br /> Mana a Name: PA-nr : 17 t✓/d'etj <br /> Previous BusinessatAddress. Sam_q <br /> Other Local Business Locations Address): <br /> Water Su I : OPubllc On-site Well sewa go Disposal: O Public So t/c System <br /> W!!/fliers be any sale offlrearns? O Ycs Ab <br /> NOTE: AJ IY CHANGE OF O UPANC MAYREQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> Applicant s Signature: /, <br /> O3 <br /> vi fir+ ,1.-•.r;is f r -:i�: t it M <br /> STAFF,USEONL'Y�+tr¢ <br /> G/PDes/ atlon:� L Toning:- Use Type:l'ti2L�LL' Srf -'61L�Pb,lr- <br /> D ARTMENT APPROVED DENIED DATE <br /> Planner N <br /> Develo m int Services am . <br /> Buildin 1spection <br /> Environme ri tal Health Div <br /> Fire Distrlc TRACT RUM <br /> Public Wo s <br /> Solld Wast <br /> Enforceme t Officer <br /> Sheriff - <br /> License Approved For: ���.���/Jjt� �1`P� y.J a 1 C �• , <br /> 2 Zy� <br /> Remarks: <br /> h <br /> `I JQ <br /> Accepteda Completo: Date: <br />