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SAN JOAQUIN COUNTY control No. <br /> Date License Issued <br /> BUSINESS LICENSE APPLICATION B. L. No. <br /> o�Ru, Receipt No. ,� K <br /> FeeI Yr.0 3 Yr. <br /> d.., . ENVIRONN,ENTAL HEALTH <br /> '"eOP <br /> PERMIT/SERVICES - r <br /> Business Name: _ J`.1.11;itZC:111J LQUIPt1L11T CU. j° Phone: (209)941.3856 <br /> Business Address: 8863 La'1ST C4%11PL1J`PL1t ROAD S'1'UUyizoy. C«, 95205 <br /> Other Business at Address: _ IIU44L' <br /> Assessor Parcel Number(s): 17q— 050 — ID <br /> Mailing Address: 4863 1:A:;T t:311ZOLWTLA!WAA* t3'PC3=.V0t+e CZi y:,: U5 <br /> Type of BusigeT: r111ULLY fitYlJLll :iU aLl)Ii11tY Car i'i,Ut tt a 1Ji (:UIJ;.`i`l<uFIi'.LU1J <br /> �11IY`f•1Li`Yii/'1•'rJ(1'L �if;JYPC31i'r .' f , <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms?❑Yes ID No (If yes, Sheriff's Office <br /> review is required.) <br /> Type of Organization: ❑ Single Owner, ❑ Partnership, k4Corporation <br /> Estimated Number of Employees: t5 Full time, Part time or Seasonal <br /> kOwner(s) Name: K1,9011 D41'JTLL CUitT'./e1bi3 itIG1TJ I(;11I1'ts.:..'.,: <br /> l Owner(s) Address: CAI$ C;1tI:WAY - 1'1W 11J=J'2 UI.l= <br /> UTILITIES <br /> i` Manager's Name: `i 'u"lY 'l3i:1.1C-itEC31U1>hl, dLi1:JRC:11t WATER: Public 13 Well lea <br /> l ` <br /> Previous Business at Address: =:ilt'iHLU1` Sanitary: Public 99 Septic[] <br /> Other Local•Business Address(e ): 1iOU <br /> I Applicant's Signature: a. Date: 44 . <br /> STAFF USE ONLY <br /> Zoning:_ 4 " Z. Section No.: q--7301 01Z) General Plan: ih4 <br /> Department' Approved Denied By( Date'' <br /> Planning Division ❑ r r I (�! . x;.::, .,r �� Z 7 1) <br /> �,. Buildirg�Division, � ' 0 ' ❑ j, T` <br /> Fire District ❑ ❑ .. <br /> i Public Works ❑ ❑ <br /> Environmental Health ❑ ❑ <br /> Air Pollution Control Dist. ❑ ❑ <br /> Sheriff (firearm sales only) ❑ ❑ <br /> Ucense Approved For: l' <br /> Remarks: <br /> Accepted as complete oh: By: <br /> Copies: WHITE-Planning, BLUE-Building, GREEN-Fire District, GOLDENROD-Public Woflu;. PINK-f-vWromental Health, CANARY-APCD PLANNING 21 112/961 <br />