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%N JOAQUIN COUNTY control No. <br /> Date License Issued <br /> BUSI ESS LICENSE APPLICATION B. L. No. S4—�— <br /> Receipt No. /a � O <br /> Fee I Yr. 3 Yr.CD <br /> r.' <br /> f: <br /> X <br /> // lG <br /> Business Name: L�2G.rt2� Phone:0419J /f2' /449 <br /> Business Address: ea . -2 3� <br /> Other Businesses at Addr ss: / / <br /> Assessor Parcel Number( ): l✓L i; c11 Ll �. ,f <br /> Mailing Address: <br /> Type of Business: <br /> Will there be any retail sl <br /> les of pistols, revolvers or other concealable firearms? ❑ Yes (� No (If yes, Sheriff's <br /> Office review is required. <br /> Type of Organization: Single Owner, 0 Partnership, ❑ Corporation <br /> Estimated Number of Employees: Full time, Part time or Seasonal <br /> Owner(s) Name: <br /> Owner(s) Address: 0490 w / <br /> Manager's Name: �r <br /> Previous Business at Addess: <br /> Other Local Business Add�ess(es): <br /> Zoning: 1<t ection No: General Plan: <br /> Department Approved Denied By Date <br /> Planning Division ❑ OOL-�— <br /> Building Division O ❑ <br /> Fire Warden ❑ ❑ <br /> Public Works ] ❑ , — —192� <br /> Local Health District ❑ 4 — c/'11-5)l <br /> Sheriff (firearm sales on y) ❑ ❑ <br /> Remarks: ���• —� <br /> Field inve tigation by the San Joaquin Local Health District indicates this <br /> is a small hazardous waste generator and will be s er—t-,— v-:parm .ts at a <br /> later date. <br /> ENVI h; c,LTT I <br /> f ER,',"I 1/SERVICES <br /> Accepted as complete on: By: <br /> Copies: WHITE-Planning, BLUEiBullding, GREEN-Fire Warden, GOLDENROD-Public Works, PINK-Local Health District, CANARY-Applicant <br /> ® PLANNING-21 (2/06) <br />