Laserfiche WebLink
q4��N 4PPLICA ON - BUSINESS LICENSE <br /> _'' SAN JOAQUIN'�UNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUSINESS LICENSE NO. <br /> 4�r'ro•p\ <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: , h>L-. <br /> Business Address: )L-701 Spm Cross St > <br /> Mailing Address: // City: State: ZIP: !Z <br /> Phone Assessor Parcel Number(s): I(D—CJg <br /> Other Businesses at this Address: <br /> Previous Business at Address: U(, r—j, <br /> Type of Business: GLV— Z� <br /> Type of Organization: ❑ Single Owner ❑ Partnership ®.Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Applicant Last Name: Applicant First Name: b <br /> Applicant Address: , J-4\ v Applicant Phone No: Qry �5-1 -270[ D <br /> Water Supply: ❑Public On-site Well sewage Disposal: ❑ Public Septic System <br /> Will there be any sale of firearms? ❑ Yes No <br /> NOTE: ANY CHANGE OF OCCU Y MAY R I BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Signature: Date: 3.Q U� <br /> STAFF USE ONLY <br /> GIP Designation: 1 Zoning: Use TypeC- <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> License Approved For: {\ NL C— L <br /> Remarks: V!\t C PA-0 �d C5 <br /> Date: <br /> Accepted as Complete: <br /> F:\DevSvc\Planning Application Forms\Business License(Revised 12-31-02) Page 3 of 8 <br />