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II - i3 - 13 <br /> APPLICATION - BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUSINESS LICENSE NO. <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: Delicato Vineyards <br /> Business Address: 12001 S. Highway 99 Cross St <br /> DBA Mailing address: Same city: Manteca State: CA I ZIP: 95336 <br /> Phone#: 209-824-3600 Assessor ParcelNumber(s): —0 <br /> Email: jennifer.beaty@delicato.com <br /> Other Businesses at this Address: N/A <br /> Previous Business at Address: N/A <br /> Description of Business Operation:: wine Manufacturer <br /> Type of Organization: ❑ Single Owner ❑ Partnership IN Corporation ❑ Other. <br /> Estimated Number of Full Time Employees: 600 Estimated Number of Part Time or Seasonal Employees: 21 <br /> Applicant Last Name: Mathews Applicant First Name: Marie <br /> Applicant Mailing Address: 12001 S. Highway 99 <br /> City Manteca IState CA ZIP 95336 Applicant Phone No: 209-824-3600 <br /> Water Supply: ❑Public 29 On-site Well Sewage Disposal: ❑ Public 19 Septic System <br /> Will there be any sale of firearms? ❑ Yes [ 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 Date: <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 /> / , p " 10/16/2013 <br /> Applicant's Signature t la4,( &/'/ Marie Mathews, Secretary <br /> STAFF USE ONLY /]. <br /> G/P Designation: G Zoning: J Use Type: InxrL15 all&111d r <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Wards R d <br /> Public Wo s <br /> td.tl.s6 B <br /> License Approved For. nLvV vse <br /> Remarks: _126 /] <br /> O / �O ! Date G p. <br /> Accepted as Complete: Date: <br /> F/ApplicationsForns&Handouts/PlanningApplications/Business License(Revised 11-14-11) <br /> Page 2of6 <br />