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,.n �•.rA� l (_;�_= ,Lii ; APPLICATION - BUSINESS LICENSE <br /> i N JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> X <br /> )hl `L 6 2009 R 1VNSE NO. <br /> TO BE COM L& *9E APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: <br /> Business Address:LA%3'1\ C q-k C-t-- Cross St <br /> DBA Mailing Address: City: S CxvR ,•,y State: C-a, <br /> Phone#: _ `�"�\ to Assessor Parcel Number(s): - <br /> Email: W L.5.,P, CALR!Q e- q1po <br /> Other Businesses at this Address: k-A oNf,z ` <br /> Previous Business at Address: a o r.3 <br /> Type of Business: S P „�..,T-t $ e-�2v ` ^J��'t .��rzc� i, i �J LI... S"3)AA4¢ <br /> \`T1� <br /> V <br /> Type of Organization: ❑ Single Owner El Partnership [I corporation Other. �.-\,-(- <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Applicant Last Name: Applicant First Name: { <br /> Applicant Mailing Address: <br /> City o C�, .,.o State C zIP qS a, Applicant Phone No: <br /> Water Supply: oublic ❑ On-site Well Sewage Disposal: lglPublic ❑ Septic System <br /> Will there be any sale of firearms? [IYes jErNo d <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. O <br /> 1,affirm,all the above information is true and correct Date: f �r <br /> Applicant's Signature: ---��^ & I �� F <br /> STAFF USE ONLY VW\ <br /> G/P Designation: Zoning: L Use Type: - 4 t <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services ✓ Planner Name: <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> M.H.C.S.D. -4- <br /> Sheriff(Junk Dealers Only) -41 <br /> License Approved For: f - - AA 0 ) <br /> N <br /> Remarks: r <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:1DevSwTIanning Application FormsOusiness License(Revised 05-01-08) Page 2 of 7 <br />