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SAN JOAOU!N COUNTY c°"`'°' " - -- <br /> Dale Liten,e ],sued <br /> BUSINESS LICENSE APPLIC:ATIOW B L. No. Q]-_]21 <br /> t Rete pl Na. * I -- <br /> o*aU1 c Fee �' 1 Yr. 3 Yr. <br /> rr 'sem ------- -- -------_ <br /> �*�JFdaa� <br /> Business Name: LIE LL-3) V41K IiT 5122 �E Phone: 3 1 ' 1 112 <br /> q <br /> Business Address: ? 0 4 f W•• HO 12.. L0171 CA L I F c1 S-1-41- <br /> Other Business at Address: <br /> Assessor Parcel Number(s): � r u J <br /> Mailing Address: _. A�- ���®� <br /> Type of Business: _ .STA I L R <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes VNo (If yes, Sheriff's Office <br /> review is required.) <br /> Type of Organization: A Single Owner, ❑ Partnership, ❑ Corporation <br /> Estimated Number of Employees: Full time, Part time or Seasonal <br /> Owners) Name: - J / ,A 7r 1Lj/�r4 �/- -- P 7-6 <br /> Owner(s) Address: 4w W• t`i ! 2- � �� c5 UTILITIES <br /> 4 Manager's Name: WATER: Public ❑ Well bf <br /> Previous Business at Address: Sanitary: Public O Septic <br /> Other Local Business Address(es): t � <br /> Applicant's Signature: Date: 3 - 1-2- <br /> STAFF <br /> 2-STAFF USE ONLY <br /> Zoning: - Section No.: 3575-o General Plan: ��1 VG I V SLC <br /> N(;rr Cwt-01 <br /> Department Approved Denied By Date a <br /> Planning Division,/ EJ3�fZ -q 0 <br /> Building Division Ltd' ❑ 3 -f s 9 D <br /> Fire District ❑ ❑ <br /> )Public Works El3_a - q o <br /> X Environmental Health ❑ ❑ <br /> Air Pollution Control Dist. 54 ❑ ���f 9th 33 9� <br /> Sheriff (firearm sales only) ❑ ❑ <br /> License Approved For: <br /> Remarks: 6:,9_Z IVN+ CdA,1F0k^4 W - L54 !O 9/2of Fee <br /> Accepted as complete on: By: <br /> Copies: WHITE-Planning, BLUE-Building, GREEN-Fire District. GOLDENROD-Public Works, PINK-Enviromental Health, CANARY-APCD PLANNING 2+ 1121881 <br />