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a�4 •.. APPLICATION —"BUSINESS LICENSE <br /> r i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> N; ( rr <br /> BUSINESS LICENSE NO. ) � 'j rJ <br /> �'4<'ikoR`'vP <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: aaiz, <br /> - A ei <br /> Business Address: 131 Cross St <br /> DBA Maif gAddres �7CitYls ,laf� State: ZI ,Q <br /> Phone 3 v 2AOp Assessor Parcel Number(s): Q I <br /> Email: <br /> Other Businesses at this Address: <br /> Previous Business at Address: jo <br /> Type of Busines � �,[ -�- 1..�lC '. - L <br /> Type of Organization: ❑ Single Owner ❑ Partnership 12rCorporation ❑ Other. <br /> Estimated Number of Full Time Employees: Z 7 Estimated Number of Part Ti­or Seasonal Employees: <br /> Applicant Last Name: MREQUIRE <br /> Applicant First Name: <br /> Applicant Mailing Address: 2Z.CityS �, Applicant Phone No: aQWaterSupply: ❑PublicSewage Disposal: ❑ Public ❑ Septic System <br /> Will there be any sale of fireNOTE: ANY CHANGE OF IRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I, affirm,all the above' ormation is tr nd correct Date: <br /> Applicant's Signature <br /> STAFF USE ONLY <br /> G/P Designation: C Zoning: Cr Use Type: ' r�,—L L o f)I_(e <br /> DEPARTMENT APPFJOVEO DENIED DATE <br /> Development Services Planner Name: 1i� 11 <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> M.H.C.S.D. <br /> Sheriff(Junk Dealers Only) <br /> License Approved For. y` C 4l <br /> Remarks: C <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> FADevSvc\Planning Application Foons\Business License(Revised 05-01-08) Page 2 of 7 <br />