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� . cc <br /> � <br /> APPLICATION - BUSINESS LICENSE <br /> EP 12 2008 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> e <br /> :K <br /> VI ONMEW HEALTH BUSINESS LICENSE NO. j4 <br /> * P WIT/SERVICES <br /> 0 BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: MAXIM CRANE WORKS, LP <br /> Business Address: 2373 Mariposa Rd cross St Hwy 99 — nearest <br /> DBA Mailing Address:a3-"'I Clty: pr)Nstate: a ZIP: <br /> Phone s: 209/464-7635 Assessor Parcel Number(s): I — <br /> Email: lmansfield@maximcrane.com <br /> Other Businesses at this Address: <br /> Previous Business at Address: <br /> Type of Business: Crane Rental <br /> Type of Organization: ❑ Single Owner KI Partnership ❑ Corporation ❑ Other. <br /> Estimated Number of Full Time Employees: 75 Estimated Number of Part Time or Seasonal Employees: <br /> Applicant last Name: Mansfield Applicant First Name: Linda <br /> Applicant Mailing Address: <br /> City State e_�� I ZIP-J� Applicant Phone No: ' <br /> Water Supply: ❑Public J9 On-site Wet[ Sewage Disposal: ❑ Public `,0 Septic System <br /> Will there be any sale of firearms? ❑ Yes IB No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I,affirm,all the above information is us and rrect Date: <br /> C <br /> Applicants Signature: — ,- f <br /> AFF USE ONLY <br /> G/P Designation: I �[_ Zoning: I — t__L Use Type: <br /> DEPARTMENT APPROVED DENIED DATE7`7 �I. <br /> Development Services Planner Name: -Id <br /> Building Inspection r <br /> Environmental Heafth Div <br /> Fire Warden <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> M.H.C.S.D. <br /> License Approved For. n <br /> Remarks: <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:\E)evSvclPlaming Application FormstBusiness License(Revised 08-30-06) Page 2 of 7 <br />