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SAN JOAQUIN COUNTY control No. _ <br /> BUSINESS LICENSE APPLICATION Dale License Issued <br /> Receipt No. ! 4,. r$'�_T_ <br /> nequ�N c Fee /� '�'^1 Yr.V 3 Yr.0 <br /> Business Name: ' o"le AV14 r,joxeef=1117e,/A�7 �X/�'Ph2onne: �w"r <br /> Business Address: ✓/ k1 41"1 <br /> Other Business at Address: <br /> Assessor Parcel Number(s): �� r - ! ` 1 ' r <br /> Mailing Address: a <br /> Type of Business Oron lia Chi <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes D-No(If yes, Sheriff's Office <br /> review is required.) <br /> Type of Organization: ❑ Single Owner, ❑ Partnership, ❑ Corporation <br /> Estimated Number of Employees: Full time, Part time or Seasonal <br /> Owner(s) Name: /�/e <br /> Owner(s) Address: �� J ,,41_6 UTILITIES <br /> Manager's Name: C7S3 WATER: Public ❑ Well ❑ <br /> *Previous Business at Address: Sanitary: Public ❑ Septic ❑ <br /> Other. Local Business Address(es): <br /> Applicants Signature: Date: <br /> STAFF USE ONLY <br /> Zoning: A —441"lllii Section No.: `j re+,s '! (c)j-) General Plan: ; <br /> Department Approved Denied By Date <br /> Planning Division ] ❑ �::`f . i `�� f_.� / <br /> Building Division ❑ ❑ <br /> Fire District ❑ ❑ <br /> Public Works ❑ / <br /> Environmental Health (� ❑ <br /> Air Pollution Control Dist. ❑ ❑ - <br /> Sheriff (firearm sales only) ❑ ❑ <br /> License Approved For: <br /> Remarks: 2 ii, n 3 <br /> Accepted as complete on: By: / <br /> Copes: WHITE Planning, BLUE-Building, GREEN-Fire District, GOLDENROD-Public Works. PINK-Enviromental Health, CANARY-APCD PUNNING 21 1121881 <br />