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-REG <br /> °ter - APPLICATION -- BUSINESS LICENSE <br /> OCT 02 � <br /> 41 JOAQUIN COUNTY COMMUNITY DEVELOPMENT'DEPARTMENT <br /> • , <, ., ;• '� <br /> BUSINESS LICENSE NO. i�— 2—UO <br /> •'�r,_6�;;'• kNVItiONMENTAL{-IESLT{"I 2—UO <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THIr APPLICATION <br /> Business Information <br /> Bualnasa Name: Ameresco San Joaquin `. <br /> susinassAddress: 6484 N.Waverly Rd., Linden, CA crossst None <br /> DBA Malling Addrass: 111 Speen St.,Ste 410 city. Framingham state: MA zip: 01701 <br /> Phone N: (508)661-22001(209 &6-' 47Q Assessor parcel Number(s): 93440-02 <br /> EmalC Jabate@amereSOO.00m ' <br /> other Businesses at this Address: None <br /> previous Business at Addrass: None <br /> Description of ava6 esa Dpe anon:: Landfill gas to energy electrical generating Aran <br /> Type of Organlzegon: ❑ single D.voer ❑ Partnership IN Corporation ❑ Other. 0 <br /> Estimated Time Employees;TEmployees: 1 Estimated Number of raft 7 ane or Seasonal Employees: <br /> Applicant Last Name; HItCh Applloantsrsl Nama: Walter <br /> ApplicantMaliingAddress: 3115 Foothlli BIVd., - <br /> c ty La�resoehta <br /> siaia CA-- '7aP 91214 Applk;antPhonsNo: (628) -27 1 <br /> Water Supply: []Pubao [Iorraihewail Water Tank I gavrega Disposal: EI Public ❑ sepuosyalem Waste Tank <br /> Wit there be any sale of greermsT ❑ Yes QS No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I,affirm,under penalty of penury that all the above Information is true and correct <br /> Date: <br /> I,the Owner/Agent agree,to defend,Indemnify,ed h Ild harmless <br /> rr ceess the against the coand unty <br /> agents,officers and employee fro a vialm, p 9 <br /> arising from the Owner/Aganfe r l <br /> Applicant's Signature: <br /> __.. <br /> STAFF USE ONLY <br /> Glp Deagnatian: Zoning: Use Type: 3 <br /> GATE <br /> DEPARTMENT APPROVEDDENIED <br /> Development Services <br /> Planner Nam <br /> Sulidfng Inspect(on <br /> U (A-1Environmental Health Div (Y <br /> Firs Warden <br /> Public Works <br /> M.H.C.S.D. <br /> 0. <br /> t.lrsnse Approved For. <br /> Remarks: � ' <br /> Occ.Gip. <br /> Date: <br /> Accepted as Complete: <br /> F/ApplleetbnsFormsBHendoutNPlanntrg4pplicadonclOusinass Ucenae(Revised 114411) <br /> Page 2 of 8 <br />