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9 <br />0 <br />APPLICATION - BUSINESS LICENSE <br />�� �, AN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />�rFOR <br />O i 121993 <br />LN PERMIT I SERVICE HEALTH <br />Business Name:,7l7tC_k'WA16_ Dtstni If3oa <za DBA(if different): <br />Business Address: W]9 Ro f f/ tfb F -Ren CA CR.+-+ <br />Other Businesses at Address: <br />Phone: —1163- 69i Assessor Parcel Number(s): Q <br />Mailing Address: PO, E6)( Ll 5-9 q9 tA C cW A tt)A 4, qp q,5__ D9q <br />Type of Business: CC) 2tb 4 fon <br />Type of Organization: ❑ Single Owner ❑ Partnership iff Corporation ❑ Other: <br />Estimated Number of Full Time Employees: Ll Estimated Number of Part Time or Seasonal Employees: <br />Owner(s) Name: <br />Owner(s) Address: <br />Manager's Name: 6a Q I—py <br />Previous Business at Address: <br />Other Local Business Locations (Address): <br />Water Supply: ❑ Public 1�(`On-site Well Sewage Disposal: ❑ Public Ef"S-eptic System <br />Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes M/ <br />No <br />NOTE: ANY CHANGE OF OCCUPANCY WILL REQUIRE BUILDING INPROVEMENTS AND NECCESSARY BUILDING PERMITS. <br />Applicant's Signature: rF,,-,- �Jn Date: 7— 7-0 Z <br />General Plan Designation: I L I Zoning: I L I Code Section Number: <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 only) <br />Fire District <br />II License Approved For: 'T- yci G V [Yt-g G) 1,n 0-,," L/ 11 <br />SM -C13 -Is- <br />Remarks: Trttk { S <br />II Accepted as Complete: I Date: II <br />Copies: WHITE -Development, GREEN -Building, CANARY -Fire District, PINK -Environmental Health, GOLDENROD-APCD <br />PA_BLLG Rev. September 2, 1992 <br />