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fPPF ..f,N <br /> /��•CSG ; <br /> P <br /> APPLICATION - BUSINESS LICENSE <br /> NC :< <br /> • S JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c `P L► <br /> q�.;Fo.R� p a <br /> r 191993 B.L. NO. L <br /> �A RECEIPT NO. <br /> E(�lVI'2 -�„ENTAL HEALTH <br /> PER IT I SERVICES FEE: �)`''� 1 YR.—) 3 YR. <br /> :!fM . : «p :THEAPUA4 �tGlY7t »JpNlCANQ : IIt? .>....;.... ......... <br /> . ...... igti�Irietia nfor r aFt�on:: <:< ::'>: : '<>> ':::.:>::>:: :<:>`` ::>><:?<' ':<<. ::: •:: <br /> ::::::,..:.::::.::.:...::.::.:::::.::::::.:::::...::..:.::...:..:..:.....:.::..:::::.:, :::.::. .:::,: . ....:::::: ..::. .::.:::....:. : :::......::::::: <br /> ....................................................................................... . <br /> Business Name: BA('rf different): <br /> i <br /> Business Address: '�� �,F?�/ <br /> Other Businesses at Address: <br /> Phone: Assessor Parcel Number(s): `..:�j ( I ?___ <br /> Mailing Address: Al , C'5F <br /> Type of Business: 7V,( tK roc,elv-,^ x /7 <br /> Type of Organization: ❑ Si gle Owner IX Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s) Name: 9,9N i ju�2,yf�.</. /,)/V/Mft/ <br /> Owner(s) Address: ��1� `/Jj�/:�/pC/� �( �//F j/1 q G G 3 7/+/ <br /> Manager's Name: <br /> Previous Business at Address: re /'V <br /> Other Local Business(Locations (Address): <br /> Water Supply: ❑Public On-site Well -Sewage Disposal: ❑ Public gKSeptic System <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes No <br /> NOTE: ANY CHANGE OF OC UPA CY WILD REQUIRE BUILDING INPROVEMENTS AND NECCESSARY BUILDING PERMITS. <br /> Applicant's Signature: „CF'r f% /,�, r. ;, t /< 1 t, v� /t 11--'(.•n./ Date:Xx <br /> ::::.::.:::::::::::::::.:::::.:::..:....:.:..:...:......:......................... T....F... ..E:.pN4Y:::::>:;:;:.>;:.:;::.;:.;:.;:.;;:.;;:.:;:..:.;;;:.:;.;:.;:;;:.;>::.;:.;:............I........ <br /> ::::. >: <br /> General Plan Designation: ; Zoning: l Code Section Number: <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services t �. /: <br /> Building Inspection / <br /> Environmental Health Div �/(/ Z <br /> Air Pollution Control Dist <br /> Sheriff (firearm sales only) <br /> Fire District <br /> L iconse Approvod For: <br /> Remarks: t.s A t �'.l— >. 1 v, <br /> C✓LZO Gt `1 iZZ, G✓ ��t✓ �/�U' / I <br /> Y <br /> Accepted as Complete: Date: <br /> Copies:WHITE-Development, GREENIhBuilding, CANARY-Fire District, PINK-Environmental Health, GOLDENROD-APCD <br /> PA_BLLG Rev.September 2, 1992 <br /> ,f i <br />