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/1p 61-L ..oT <br /> NOV p n 2003 <br /> APPLICATION--BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVLEOPMENT DEPARTMENT <br /> dRCi'Fj"_pN�� BUSINESS LICENSE NO. eze a <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: / F " 'f ABA If different): <br /> Business Address: Z Cross St: G ii d. <br /> Other Businesses at this Address., <br /> Phone#: -Lc+ t' – G Assessor Parcel Number(s): 0 <br /> M211fn Address: 71 fl L <br /> T e of 8uslness: L 40 <br /> T e of Or anhaflon: O Sln le Owner ❑Parfnershl ,a oration £7 Ofher: <br /> Estimated Number of Full 77me Employees: I EsUrnafed Number of Part Time or Seasonal E to ees: <br /> Business Owners Abme: <br /> Business Owners Address: <br /> Mana er^s Name: C.� <br /> Previous P"sIness at Address. <br /> v'. Other Local Business Locations .4d ess: <br /> f ' <br /> WalerSu 1 : DPublic On-s110 Well Sewage Dis osaC 0 Public zrSe flc System <br /> !� vr111 there bean sale of Rrearms7 0 Yes I" _ <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS, <br /> j <br /> Appflcanf�;Slgnalura�—�'�" ' - �� Dale:e 1/ //%: <br /> STAFF USE ONLY <br /> � P.v C o�Iac_ <br /> G/P Designalfon: Zoning: C� <br /> Use Type: rQ /"' <br /> DEPARTMENT APPROVED DENIED DATE <br /> .i. Davela menfServices �( Planner Name: <br /> Y <br /> SuIlding Inspection - <br /> Envlronrnenlal Nealfh Div <br /> Fire District <br /> Public Works - <br /> Solid Waste <br /> rEnforcement Officer <br /> Sh arlff <br /> License Approved For: <br /> Remarks: ei0/,4cef IL-lecj owwfy' <br /> ,2 <br /> Accepted as Campleta: Date: <br /> a, <br /> .,I a115UC,YPP FdaLf aFV OMOLpS 3 <br />