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P <br />Ab� I <br />B.L NO. 7. <br />RECEIPT NO. 9717 T <br />I YR. <br />FEE: �12 L 3 YR. <br />........ .. M: <br />14 <br />. . . . . . . . <br />APPROVED <br />DENIED BY <br />DATE <br />Business Name, <br />(K different): <br />Business Address: <br />Other Businesses at Address: <br />Phone: cP Q1rA Sta Z1 2, lAssossor <br />Parcel Number(s): <br />Mailing Address: <br />Type of Business: -A- !F4 Oat <br />ce <br />Type of Organization: Single Owner [I Partnership CI Corporation 0 Other: <br />Estimated Number of Full Time Employees: zv_--v fEstimated Number of Part Time or Seasonal Employees: <br />Owner(s)Name: w-OACc '- 02S 1-77 21 <br />-(-41a,V - rC4jz2C--2P- <br />Owner(s) Address: -51 w V, C-/.41 <br />, f 7 a <br />- <br />Manager's Name: r t -2-09 <br />Previous Business at Address: P-\kPr- r, <br />Other Local Business Locations (Address): <br />Water Supply: 0 Public On-site Well <br />Sewage Disposal: 0 Public Septic System <br />Will there be any retail sales of pistols, revolvers or other concealable firearms? 0 Yes 14 No <br />1. <br />Applicant's Signature:".t5�4,rlmt -- I <br />Date:A.&: <br />. . . . . . . . . . n;0 <br />General Plan D Zoning: Code Section Numbeo-61fel <br />DEPARTMENT <br />APPROVED <br />DENIED BY <br />DATE <br />Development Services <br />Building Inspection <br />Environmental Health Div <br />0XIA <br />Air Pollution Control Dist <br />Sheriff (firearm sales only) <br />Fire District <br />License Approved For: <br />