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APPLICATION - BUSINESS LICENSE <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />........ ... ......... ........ <br />Business Name: <br />(if different): <br />6- 'a <br />Business Address: orio. Broadway <br />Other Businesses at Address: <br />..' 'I) " I ? <br />Phone: f, <br />Parcel Number(s): <br />Mailing Address: <br />Type of Business: <br />Type of Organization: 0 Single Owner 0 Partnership ❑ Corporation 0 Other: <br />Estimated Number of Full Time Employees: <br />Time or Seasonal Employees: <br />Owner(s) Name-Z.0;11pany <br />Owner(s) Address: iibl fir '1' <br />Manager's Name: 7% 111 Koo <br />Previous Business at Address: <br />Other Local Business Locations, (Address): <br />Water Supply: 0 Public 0 On-site Well <br />Sewage Disposal: 0 Public 0 Septic System <br />V <br />Will there be any retail sales of pistols, revolvers or other concealable firearms? 0 Yes 0 No <br />Applicant's Signature:, <br />Date: <br />---------- - ---- <br />General Plan Designation: <br />Zoning: <br />DEPARTMENT APPROVED DENIED <br />BY <br />Developmeni, Services <br />— ces <br />Building Inspection <br />Public Works <br />Environmental Health Div <br />Air Pollution Control Dist <br />Sheriff (firearm sales only) <br />Fire %Distrioct <br />License Approved For: <br />Remarks: <br />4 <br />Code Section Number: <br />DATE <br />_�TE <br />