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M 0 <br />APPLICATION — BUSINESS <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT C <br />BUSINESS LICENSE <br />RECEIVED <br />JOAQUIN <br />TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br />FFOev5vcWlanning Application FoonsOusiness license (Revised 05-01-08) Page 2 of 7 <br />Business Information <br />Business Name: 1=f' LK 3 :tai omfs,i— C�,m P1}nr;' LLC. Pgtr ursTe„F-+v rQ.,c ic_ LFN7'7-� <br />us ass. - ) <br />DBA Meiling Address: Iyyl 21cA-4,w s, B&u00 City: S p'-or-v�xva State: <br />Phone #: 916- 1- t � sb t Assessor Parcel Number(s):- <br />Emall: <br />Other Businesses at this Address: <br />Previous Business at Address: <br />Type of Business: F_OIVNt i cL 6kAS1 R ��� Ur=h LF--IrJLLUDr'tf <br />L S a L.@ L EAS/ W• w2-✓ i L-.� t_ V5 A 2-i S S t -E S <br />Type of Organization: ❑ Single Owner ❑ Partnership ❑ Corporation Other. L <br />Estimated Number of Full Time Employees: <br />Estimated Number of Part Time or Seasonal Employees:` <br />Applicant Last Name: <-' nW O► <br />Applicant First Name: <br />Applicant Mailing Address: f, U , Z J , 2'i Jit 1 <br />City 5r--A;rn-E.. I Stale LJ? ZIP 9y^z <br />Applicant Phone No: ZuU GLq-73'i3 <br />Water Supply: ❑Public 'g Onsite Well <br />Sewage Disposal: ❑ Public Ncxseplec 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, all the above Information is true and correct <br />Applicant's Signature: <br />Date: <br />Io- -06 <br />STAFF USE ONLY <br />11' <br />GIP Designation: -F- ' Zoning: I-- L,` - <br />DEPARTMENT APPROVED DENIED1} DATE <br />Development Servicaa - Planner Name:-__]-' L�-I [ 6 ) <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. <br />Remarks: <br />Occ. Grp. <br />Accepted as Complete: Date: <br />FFOev5vcWlanning Application FoonsOusiness license (Revised 05-01-08) Page 2 of 7 <br />