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R p^AVIry C <br /> r =' <br /> CATI <br /> P P L I <br /> A ON - BUSINESS LICENSE <br /> 4epa SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUSINESS LICENSE NO. q=q3 <br /> TO 6E:COMPLETED;BY THE APPLICANT PR1 RI Ta EIL1[JG'THE 1�PPLICATIONt <br /> S <br /> Business nfvrmabon <br /> Business Name: CENTRAL Lt N/q V D If different: <br /> Business Address: 109fF A 094 4 ru AID. F-ilt 6,1V C.1% C'4 ft,- A 9 S-..Z 31 <br /> Other Businesses at this Address: G <br /> Phone: -2 a f- P 3- 6 p 7 O Assessor Parcel Numberfs): / 3 3v- 3 J <br /> Mailln Address: X71.2 S. ,,-17A Si. 248 -0 C.4- j7,zr- . <br /> Type of Business: R 4 rk <br /> Type of Organization: ❑ Single Owner ❑ Partnership Corporation ❑ Other <br /> Estimated Number of Full Time Employees: .20 Estimated Number of Part Time or Seasonal Employees: <br /> Business Owner(s) Name: 0^ C-. %S 7,q, • <br /> Business Owne s Address: 7/•2 S. FLvy,if T ti Sj /�CGJ N+ [.9 ��7.,j jr <br /> Manager's Name: L k —A Q C l/q <br /> 1 <br /> Previous Business at Address: _ T��4R.7' S L(R S e2 <br /> Other Local Business Locations(Address): <br /> Water Supply: Public ❑ On-site Well Sewage Disposal: ❑ Public Se tic System <br /> Will there be any retail sales of pistols.revolvers or other concealable firearms? ❑ Yes IV No <br /> NOTE: ANY CHANGE OF OCCUPANCY WILL <br /> [CREQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. C <br /> Applicant's Signature: G Date: _ 1 �•' <br /> STAFF USE ONLY <br /> General Plan Desionation: ( Zoning: I 61- <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services <br /> Building Inspection <br /> Environmental Health Div <br /> Air Pollution Control Dist I 1 <br /> Sherif(firearrn sales only) <br /> Fire District <br /> License Approved For. C�G{L f1l r� <br /> Remarks: <br /> Acceoted as Complete: Date: <br /> PA_BLLG Rev,January 11,19% <br />