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i <br />SAN JOAQUIN COUNTY <br />BUSINESS LICENSE APPLICATION <br />Control No. — <br />Dale License Issued <br />B. L. No. ----- <br />Receipt No. <br />Fee .__ —_ I Yr. 3 Yr. <br />Business Name: / aS CdP� )S Cl/`a�/� C.�il ��/�. Phone: <br />Business Address: '13 6"2 IVLO..� Ja4,u S&C'Ayn, c fi Y. <br />Other Business at Address: <br />Assessor Parcel Number(s): 1 v', —o N. n —na _ <br />Mailing Address: 9C) E ox 1 <br />Type of Business: `Wafer C OU Ri R�i3 <br />Will there be any retail sales of pistols, revolvers or other concealable firearms? ❑ Yes ❑ No (If yes, Sheriff's Office <br />review is required.) <br />Type of Organization: ❑ Single Owner, ❑ Partnership, ❑ Corporation <br />Estimated Number of Employees: Full time, Part time or Seasonal <br />Owner(s) Name: �� yr —�— �� J Co -e tt7 G' 17 <br />Owner(s) Address: UTILITIES <br />Manager's Name: <br />Previous Business at Address: <br />Other Local Business Address(es): <br />WATER: Public ❑ Well ❑ <br />Sanitary: Public ❑ Septic ❑ <br />Applicant's Signature: <br />Date: <br />STAFF USE ONLY <br />Zoning: <br />Section No.: <br />General Plan: <br />Department <br />Approved <br />Denied By Date <br />Planning Division <br />❑ <br />Building Division <br />r❑ <br />❑ <br />❑ <br />Fire District <br />❑ <br />❑ <br />'Public Works <br />❑ <br />❑ <br />J <br />Environmental Health <br />�• <br />El17 <br />Air Pollution Control Dist. <br />❑ <br />❑ <br />Sheriff (firearm sales only) <br />❑ <br />❑ <br />� a" Lie <br />License Approved. For: <br />� <br />1 U (UN Is <br />r <br />-7 n <br />�� S / <br />Remarks: <br />Accepted as complete on: <br />By: <br />Copies: WHITE -Planning, BLUE -Building, GREEN -Fire District, GOLDENROD -Public Works, PINK-Enviromental Health, CANARY-APCD PLANNING 21 (12/88) <br />