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1 <br /> A?sPLICATION-BUSINESS LICENSE <br /> a SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUSINESS LICENSE NO. -CSI <br /> Feloft <br /> tch <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: . rDBA(i(tliNerent <br /> Business Address: rY] TQ ,l,L Cross St: I ( m <br /> Other Businesses at this Address:o2 "-I L iJfOJI`�+l hCJ l�h �(pr(�<_�p�;• ?I(ll4 <br /> Phone: — �. fit"' rIS. —,-6rj Assessor Parcel Number(s): (' C) I�� <br /> Mallin Address: 11"1 ', f• \+ �i�✓�:�lq <br /> Type of Business: I — `h <br /> Type of Organization: O Sln le Owner 0-Partnershfir r oration O Other. <br /> Estimated Number of Full Time Employees: Est/mated Number of Part Time or Seasonal Employees: <br /> Business Owners Name: Imo'' n So <br /> Business Owners Address: C� Fj3rj <br /> Manager's Name: f� <br /> Previous Business at Address: r f <br /> Other Local Business Locations Address: <br /> WaterSupply., 0Pubbc WonsifeWell Sowa oDisposal: 0 Public Se tics stem <br /> Will there be any sale of firearms? O Yes No <br /> NOTE.,ANY CHANGE OF OCCUPANCY MAY REQUIRE Dl G MPROVE TS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Slgnaturo. <br /> Date: o—r'�--v <br /> .r <br /> General Plan Designatlon: Zoning: A G O <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> DevelopmentServices <br /> Building Inspection <br /> Environmental Health Div <br /> Fire District <br /> Air Pollution Control Dist <br /> Enforcement Officer <br /> Sheriff <br /> License Approved For: cx <br /> Remarks: G 1St (.. X6.6 QOC�J 5 l G L}n <br /> Accepted as Complete: <br /> AA-eLIC.DOC AN. 8/8/01 <br />