Laserfiche WebLink
QPaYIn., RECEIVED APPLICATION — BUSINESS LICENSE <br /> e' OCT 1 5 2009 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Community Development Dept. B <br /> BUSINESS LICENSE NO. BL -O otn02- 9 O <br /> •'•q.. �.��; <br /> !FOR <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: (bac,+l ye— A.)C r e. 1..0 �o i-'1 e r L L C_ <br /> Business Address: y �. e, �- Cross St <br /> DBA Mailing Address: City: 'rp rtJ State: C ZIP: 9Sd,v <br /> Phone ft: 0 90 Assessor Parcel Number(s): �� b <br /> Email: fo <br /> Other Businesses at this Address: IU v e <br /> Previous Business at Address: Mar'1' C4Fr'ra ' JJ ' <br /> Type of Business: (1')G n �+vre r O Cor rtA rd pb JCA Ca - <br /> PERNITISERVICE9 <br /> Type of Organization: ❑ Single Owner ❑ Partnership ❑ Corporafion Other L,LG <br /> Estimated Number of Full Time Employees: j Estimated Number of Part Time or Seasonal Employees: <br /> Applicant Last Name: IL Applicant First Name: ac) I <br /> Applicant Mailing Address: Fre...t • 4� <br /> City I State ZIP a Applicant Phone No: C 201 —a O <br /> Water Supply: Apublic ❑ On-site Well Sewage Disposal: Public ❑ Septic System <br /> Will there be any sale of firearms? ❑ Yes No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I,affirm,all the abo infor�//motion' true d correct i Date: <br /> Applicant's Signature- ✓ Q <br /> STAFF USE ONLY <br /> GIP Designation: Zoning L_ U/ use Type: <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: 7` p <br /> Building Inspection <br /> Environmental Health Div 0 <br /> Fire Warden <br /> Public Works <br /> M.H.C.S.D. <br /> Sheriff(Junk Dealers Only) <br /> License Approved For: <br /> d, 16)e Ak <br /> - <br /> Remarks: <br /> S^r r _ Q 3 i L- Occ.Grp. <br /> Accepted as Complete: Date: <br /> ROwSWPlanning Application FomnsSusiness License(Revised 09-01.09) Page 2 of 7 <br />