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'4a"Ea'r i <br /> lop— <br /> L� :1 <br /> ASPLICATION - BUSINEIS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Mif <br /> '4MLNTAI HES,(. ,E N r 1994COMMU.N1fy UtvttUrl'✓Iki4j <br /> LA.NN1 4 tG <br /> 'Tti H�COr�tpC�7E@ r3Y7'NEl1#riLl!trr#[47'pHi+Dif't7'0 FIE1Nd THE,AppLi�A7'ttSH <br /> Hwl�newat k►latniHtat► <br /> Business Name: /V/y J3oswL DBA it different <br /> Business Address: 413V 1 <br /> /t/F_u%)-c7tJ gaA✓J 67yc1cTvw G/1 5 U <br /> Other Businesses at this Address: <br /> Phone: <;2 0 )/6-,� _ ,2'�y� Assessor Parcel Number(s): <br /> Mailing Address: '7 wr pl�,,jZ< f)VF_ <br /> 11/2- 08360 <br /> Type of Business: T� Y fh/ 6 G>t 7Lr/ R I7PVLK1>� <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 /> Business Owner(s)Name: /Vr3- 7nvi�� -rz�_rGl1T 9VVf- <br /> Business Owner(s)Address: 7 <br /> ^wr.+,cd tV,.i O 3 360 <br /> Manager's Name: -f'L r- O r- A I/(a 5 <br /> Previous Business at Business Address: <br /> Other Local Business Locations(Address): <br /> Water Supply: ❑Public On-site Well <br /> Sewage Disposal: O Public Septic System <br /> Will there be any retail sales of pistols,revolvers or other concealable firearms? ❑ Yes o <br /> NOTE: ANY CHANGE OF OCCUPANC ILL REOUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Signature:X � Date: <br /> STAFF US&ONLY <br /> General Plan Designation: 1 Zoning: f <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services <br /> Building Inspection <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sheriff(firearm sales on!y) <br /> Fire District a7er%'E <br /> /Vl�ra SVe <br /> License Approved For: <br /> Remarks: T✓,A.,—I.1- 1, ',_-ell / o <br /> -r %/M <br /> Accepted as Complete: Date: <br /> Copies:WHITE-Development,GREEN-Building,CANARY-Fire District,PINK-Environmental Health,GOLDENROD-APCD <br /> PA BLLG Rev. <br />