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c dy-of Ripon Check(J) 4Se v_Business License <br /> I,�SttdESS�LJ,CEI� E APPL:iG TION . `. ;~ rfl [c -tis <br /> 259 N.W1hna•Ave.,Ripon,CA 95366 ❑ e Add <br /> Phone 209-599-2108*Fax 209-599-2685 qj <br /> :KsiplQyee�'ee;�`.�'`�t�_" <br /> MUNICIPAL CODE SECTION 5.04.020 LICENSE REQUMED. 1t is <br /> corporation or any other association;or for any personwhether as an agent,s p oy mfor bamse� ai <br /> other person.firm,copartu-ship corporation,or other assoeiadim withla the co i the t r t4 yt �t <br /> on antrade,calling,occupation,profession or pursuit,until they shall have first o a as required is s x"5tan�5str <br /> chaptar:Issuance of license,however,shall not constitute eodorsematt of the li e:mp yees or Product <br /> or its a mptoyom Any such claim of endorsement by the applicant or any agent of his or product in <br /> immediate revocation of the hccaso 4 :r `3 s$tusDaik us;'' � ':•.:': , <br /> a."J"`.c'. :1 iS • r. _ - :.?SnJ.e'�..a`��, <br /> Aln <br /> Business Name <br /> Business Location <br /> (#and Street) 3 . (City) Mate) (zip) <br /> Marling Address(if different thddanbusiness location) 142 AM' <br /> ] <br /> Contact Person� C r^tWirt a�'dr�. usiru Picone#('20 " D�9 ®,r�'7 Z& <br /> Type of B ess(/)Check one <br /> • Retail Service o Professional t) Home Occupation o Residential 4-10 Units o Residential 10+Units o.Commercial a.HotellMotel <br /> a Subcontractor a Contraetor/Non-Home Occupation o Manufacturing a Solicitor R Other . . <br /> Detailed Business—Description IBS p tt' /'!lames40 <br /> e e � <br /> 014.1 <br /> w <br /> Is the place of business in your ho ? a Yes o (If checked eN,and business is located within Ripon city limits,you must submit a Horne <br /> Occupation Permit Application with applicable ftes) <br /> Number of-employees(excluding one owner&spouse)worldn withinworldthe City Limits <br /> If appllesble,General Contractors Name&Project Address <br /> Federal r W41 y State Employer IDN State Contractor# <br /> Firearms Sales? D Yes o If yes,Federal License# Resale# <br /> Ownerffl or Of icerls)laformation.LAttsch separate piece of®aper if additional space is needed? <br /> Type of Ownership( ck(/)appropriate box) <br /> a Sole Proprietorship V Corporation-list all partners o Partnership <br /> Name F r it - Name <br /> Horne Address �( ��,� d Home Address Ave, <br /> City nlodesdc3 State t��. Zip City i AAV Sta Zip <br /> Rome Phone# �C� s> Home Phone <br /> Social Security# z.<Xa— 3$— 5:_ Social Security <br /> Drivers License# � /' Drivers License# $Od zfy-4Q <br /> ProDertv Owner <br /> Name K I n aill11 ,1'yic �� (City) <br /> 112 = <br /> Home Address <br /> (#an Street) (State) (Zip) <br /> I have read the statements on this application and have indicated those conditions which are applicable to the nature of my business. Further,I <br /> understand-the provisions of Ripon Municipal Code Title 5,Chapter 5.04,and I will obtain all necessary information from the appropriate city <br /> employees regarding additional licenses and/or permits that may be required due to the nature,location or other characteristics of my proposed <br /> business activity. I declare under penalty of petjury under the laws of the State of California that the foregoing is true and correct to the best of <br /> my kn dge. _ e <br /> — <br /> pplicant SIGNATURE Applicant PRINT CLEARLY Association With Business Date <br /> FOR. RVICE _ <br /> Department Approved Denied Initials CommentslReason <br /> Planning 1 11 <br /> Building <br /> Other <br /> ca-'d dGq :;7I En F:? Rew <br />