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BUSINESS LICENSE NO. <br />F/ApplicationsForms&Handouts/PlanningApplications/Business License (Revised 02-24-15) <br />Page 2 of 6 <br />TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br />Business Information <br />Business Name: ES'C06} y wMOV� <br />Business Address: eolAtoNC7�>a <br />DBA Mailing Address: ID , R zi <br />Cross St W Y 1W <br />City: X j (9o!✓ " • State: CP,4 ZIP: , <br />Assessor Parcel Number(s): 2.n Cra - + ) " ZL� <br />Phone #: 2 Oq- 207 5^ O 8Z <br />Email: aArO <br />weS+roQS7 an nee . Go,M <br />Other Businesses at this Address: /2C�Y,i <br />/C <br />Previous Business at Address: --- �"—" <br />,. Ok'7Cf{ AiZy-fio <br />Description of Business Operation:: P p "772UC94k# & <br />N L € <br />Type of Organization: ❑ Single Owner ❑ Partnership Corporation ❑ Other: <br />Estimated Number of Full Time Employees: <br />Estimated Number of Part Time or Seasonal Employees: <br />Applicant Last Name: S TfjG V <br />Applicant First Name:00 y <br />Applicant Mailing Address: .9. 90,w Z7 <br />City �10A./ State Cf} ZIP y,Y(P& Applicant Phone No: <br />Water Supply: Wublic ❑ On-site Well <br />Sewage Disposal: gL Public ❑ Septic System <br />Will there be any sale of firearms? ❑ Yes JE!� No <br />NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br />I, affirm, under penalty of perjury that all the above information is true and correct <br />I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its <br />agents, officers and employees from any claim, action or proceeding against the County <br />arising from the Owner/Agent's project. <br />Applicant's Signature: ()== � <br />Date: <br />�Y 07 <br />I <br />STAFF USE ONLY <br />G/P Designation: - <br />Zoning: <br />Use Type: Yl uk-e, 5GL\' Jr> `ew c eC 5 <br />DEPARTMENT <br />APPROVED <br />DENIED <br />DATE <br />Development Services <br />Planner Name: <br />Building Inspection <br />Environmental Health Div <br />Fire Warden <br />Public Works <br />M.H.C.S.D. <br />License Approved For:�21L— <br />�ln ,• I^�LU' IOU <br />t <br />Remarks: Thi �� -<lo <� �GIUL�i cSY1 CJ i��l hCt �Lf 1G�5 s. <br />Occ. Grp. <br />Accepted as Complete: <br />Date: <br />F/ApplicationsForms&Handouts/PlanningApplications/Business License (Revised 02-24-15) <br />Page 2 of 6 <br />