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oasu <br /> y. <br /> APPLICATION-BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> " b146 BUSINESS LICENSE NO. <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILINGTHE;APPLICATION <br /> Business Information <br /> Wo <br /> Business Name: I DBA(1f different): <br /> Business Address; Cross St: <br /> Other Businesses at this Address: <br /> ''ll <br /> Phone: qC/Q Assessor ParcelNumber(s): <br /> Mailing Address: <br /> T oofBusiness.- <br /> Type of Organization: O Sin le Owner O Partnership L!'Cor oration O Other: <br /> Estimated Number of Full Time Em to ees: 1 Estimated Number of Part Time or Seasonal Employees., / <br /> Business Owners Name: <br /> Business Owners Addra s: <br /> Manager's Name: i <br /> Previous Business at Address: <br /> Other Local Business Locations(Address): <br /> WaterSupply., CPubllc mon-site Well Sewa a Dis osal. O Publlc 0<etIc System <br /> Will there be any sale of firearms? C Yes A710 <br /> NOTE:ANY CHANGE OF OCCUPANCY MAY REQ Re"eUIL IMPROV NTS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Signature: Date: —S--0/ <br /> General Plan Designation; A16i A16Zoning: r / 91 <br /> DEPARTMENT APPROVED DENIED BY — DATE <br /> Development Services <br /> Building Inspection <br /> Environmental Health Div <br /> Fire District <br /> Air Pollution Control Dist <br /> Ftnforcement Officer <br /> Sheriff <br /> License Approved For: <br /> i <br /> 67 <br /> '�—yv� L f '� � S — r/✓�-/c- 5..�.L--i � �.t✓✓.�c.cr sfi'"�Gi <br /> Remarks: <br /> Accepted as Complete; Date: <br /> PA-eLMDOC ASV. 0/6/01 <br /> -3- <br />