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aRt"• <br /> P. <br /> APPLICATION-BUSINESS LICENSE <br /> •` " T SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 4t1r�8"a?: <br /> BUSINESS LICENSE N0. f <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Buslnoss Namo: 1-1I�.i' h.i T'I' DBA(lf different): <br /> Business Address: 1�✓ t?'i7(=41 U(_ Cos�SL 33 <br /> Other Businesses at this Address: <br /> t <br /> i Phone: P Assessor Parce/Number(s): <br /> MailingAddress: o� 0,8660 <br /> ,86© Q Q q S GV.5 <br /> TypeofBusiness: HCkf"P4-Q <br /> Type of Or anization: ❑Sln le Owner ❑ Partnership M Cor oration ❑ Other. <br /> Estimated Number of Full Time Employees: (� Estimated Number of Part Time or Seasonal Employees: <br /> Business Owners)Name: 1 l r <br /> Business Owner(s)Address. J,20-4)1, <br /> Manager's Name: 1 QU b1.e- <br /> Previous Business at Address: <br /> Other Local Bus/Hess Locations(Address <br /> Water Su 1: ❑Public ❑ On-site Well Sewa a Disposal: ❑Public ❑ Septic System <br /> Will there be any sale of firearms? ❑ Yes O No <br /> NOTE:ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Signaturei ` ,�,L� Date: <br /> 'STAFF USE`ONLY` / <br /> General Plan Designation: Zoning: "� V <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development ServIces / j'L. //00 <br /> Building Inspection <br /> Environmental Health Div <br /> Fire District <br /> Air Pollution Control Dist <br /> Enforcement Officer <br /> Sheriff <br /> License Approved For <br /> 1.& �` <br /> Remarks: <br /> 2-3 <br /> Accepted as Complete: Date: <br /> -2- <br />