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- 1I <br /> SAN JOAQUIN COUNTY control No. <br /> BUSINESS LICENSE APPLICATION Date License issue9 <br /> B. l.. No. <br /> Receipt No. <br /> ,,,gip• Fee C1 1 Yr. 3 Yr. <br /> - <br /> W. :< <br /> Business Name: �' � /'` i`''T SfLr , :'/✓; : l� Phone: <br /> Business Address: <br /> Other Businesses at Address: <br /> Assessor Parcel Number(s): <br /> Mailing Address: S�Afar- <br /> Type of Business: 191,-471" 4�1/'`44 S ��/Vl� Sufis//,rte <br /> Will there be any retail sates of pistols, revolvers or other concealable firearms? ❑ Yes No (if yes, Sheriff's <br /> Office'review is required.), <br /> Type of Organization: Single Owner, ❑'Partnership, ❑ Corporation <br /> Estimated Number of Employees:- . Full time, Part time or Seasonal ' <br /> Owner(s) Name: <br /> r er(s) Address:, V0, <br /> ManageName: ' <br /> Previous Business at <br /> Other t_ocp#."Business A4dress(e5): <br /> t T <br /> STAFF USE ONLY <br /> AMP <br /> ten/ H 1 Yll 4fR V6 +� t I y'4lrrR1 O�I Pl f• r•4f� � s'.� 'w. i - ' <br /> -s Qepartment t r `' 'pM i3entec, y :► Date, <br /> P arining'Division <br /> Building Division ❑ ❑ <br /> Pubtic'Works �f_+/ ❑ <br /> Locaf Health District' A 1- yae-P:&, 7 <br /> Sheriff.(firearm,sales only). <br /> Retparic : gCPA <br /> ti J Y s <br /> 1' J { <br /> ENVIROMENTAL HEALTH ; <br /> Accepted is Complete on: By: ` Ft RttAn i«4<<irGc <br /> popift WKnt-PtWh1&P.8l, 9-Bu1Idh1R,GREEN-Fire Warden,GOLDENROD-Fublia Work$, PINK-Local Health District, CANARY-Applicant <br />