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_ oAq�Iry• <br /> APPLICATION-BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVLEOPMENT DEPARTMENT <br /> 02 MIA —3 PM 4: 23 •� � BUSINESS LICENSE NO._O2000 5) <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: v I Z `L VA .42�WADBA if different): ' <br /> Business Address: /Lft V I t/b Cross St: S <br /> ? Other Businesses at this Address: <br /> Phone#: '? 07- Z -7W ,• Assessor Parcel Number(s): T Iq l — O 2— <br /> Maliin Address: <br /> T e of Business: <br /> y- <br /> Type of Organization: Sln le Owner O Partnershlo O Co oration O Other: <br /> Estimated Number of Full Time Employees: - I Estimated Number of Part Time or Seasonal Employees: <br /> Business Owners Name: <br /> Business Owner(s) Address: /'V ff C E G ti e*L F ltu <br /> Manager's Name: <br /> Previous Business at Address: S 4 K{ G <br /> Other Local Business Locations(Address): <br /> WaterSuppiv. brPublic /7 On-site Well L Sewa a Disposal: O Public O Septic System <br /> MY there be anV sale of Brearms7 O Yes o <br /> NOTE:ANY CHANGE OF OCCUPANCY MA REQUIRE BUILDING IMPROVEMENTS AND NECES ARY BUILDING PERMITS, <br /> Applicant's Signature: Date: 6Z. <br /> s r r r <br /> {, .; .. <br /> 4';i :..'•r�' r? t+l"wY,',�+dlr ;u+fit.: '!^'.�' S•TAFFUSEONLY .: <br /> i <br /> General Plan Des! natlon: �'/� Zonln : <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: <br /> Building Inspection <br /> Environmental Health Div <br /> Fire District <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> Sherif <br /> L/cense Approved For: <br /> 'so Pi° -s m 6.' ti 147°1-1 <br /> a <br /> Remarks: lti L— '7 <br /> Accepted as Complete: Date: <br /> ' rvsucvr mn.ur,of/os/ot 3 <br />