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E <br />1A it Receipt No. <br />Fee I 1 Yr. C3 3 Yr. El <br />as :< <br />Business Name: - P <br />Phone:. <br />) <br />Business Address: !fes r" Zf <br />Other Businesses at Address: <br />Assessor Parcel Number(s): // i _ r�;r^ - ' l - -7 <br />Mailing Address: - s <br />Type of Business: r '1.4, Z <br />Will there be any retail sales of pistols, revolvers or other concealable firearms? [❑ Yes XINO (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: �, F�fl` h s'c_ 2 // <br />d. <br />Owner(s) Address: <br />Manager's Name: "%p ' 41 <br />Previous Business at Address: <br />Other Local Business Address(es): <br />a <br />A <br />Zoning: s_ Section No: d f General Plan: r 1 <br />Department Approved Denied By Date <br />Planning Division 50 ®1 ; <br />❑ ❑ <br />❑ ❑ <br />❑ ❑ <br />Building Division <br />Fire Warden <br />Public Works <br />Local Health District <br />Sheriff (firearm sales only) <br />1 / r <br />Remarks: , <br />Accepted as complete on: By: <br />Copies: WHITE -Planning, BLUE -Building, GREEN -Fire Warden, GOLDENROD -Public Works, PINK -Local Health District, CANARY -Applicant <br />0 PLANNING -21 (2/88) <br />