Laserfiche WebLink
"N01= NU. <br /> ZGIBEICOMPL BYTHE APPL1CANrPRt0WWFJ0N9"E APPLICATION <br /> Business f1d, anon <br /> ............ <br /> Business Name, 2 1 D if different): <br /> Business Address: 3a3Lcx-,fylS, ()A qsac-6 <br /> Other Businesses at this Address: QDhJF- <br /> Phone: Asses,sor Parcel Number(s): 0- 1 0,5 <br /> Mailing dress: f4Trw Avi-L"I L, 4 q4-;A <br /> Type ofBusiness: <br /> Type of Organization: El Single Owner 0 Partnership Corporation 0 Other. <br /> Estimated Number of Full Time Employees: Estimated Number of Pan Time or Seasonal EnDlovees: <br /> Business Owners)Name: <br /> Business Ownens)Address, T-TI t � -T`�kC-- C <br /> Manage s Name: �979-1 C— L <br /> Previous Business at Address: <br /> Other Local I Business Locations(Address): <br /> Water Supply:-616-bitc C1 On-site Well Sewage Disposal: Public 0 Septic System <br /> Will there be any sale of firearms7 ID Yes III(No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> ADPlicanf s Signature: Date: <br /> ............ <br /> rGeneral Plan Designation: zoning: <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services <br /> Building Inspection <br /> Environmental Health Div <br /> Fire District <br /> Air Pollution Control Dist <br /> Enforcement Officer <br /> Sheriff(firearm sales only) <br /> License Approved For. <br /> Remarks: <br /> Accepted as Complete: Date: <br />