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SAN JOAQUIN COUNTY Control No. <br /> BUSINESS LICENSE APPLICATION Date License Issu <br /> 8. L No. __ <br /> o�Rur~' Receipt No. <br /> �.'�i•co <br /> t <br /> Feer) 1 Vr.0 3 Yr. <br /> Business Name: /VD ,P9ot/* <br /> Business Address: one: <br /> Other Business at Address: _ r T <br /> Assessor Parcel Number(s): _ ��'•. "" '! i <br /> Mailing Address: %/:✓''/ <br /> Type of Business: rYe + r £ <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms?❑ Yes p No (If yes, Sheriff's Office <br /> review is required.) <br /> Type of Organization: 62 Single Owner, ❑ Partnership, ❑ Corporation <br /> Estimated Number of Employeefl: �Y Full time, <br /> +�1 Part time or Seasonal <br /> Owner(s) Name: .=-:; . . M1; <br /> Owner(s) Addressgy <br /> Manager's Name: 1i =Public' <br /> Previous Business at Address: rG'� Public <br /> Other Local Busihess Address(es): .t•'1r� <br /> Applicant's Signalur <br /> •r,, .x,:.r. . Date: <br /> STAFF USE ONLY fi <br /> Zoning: Section No.: <br /> , General Plan: <br /> Department Approved Denied By <br /> Date <br /> PlanHing Division ❑ _ / ` J, <br /> Building Division ❑ ❑ <br /> Fire District <br /> tAl''wx a� ❑ <br /> Public Works -- <br /> Environmental Health ❑ 6 i DAP .§� — 9?1 <br /> Air Pollution ContrQI,Dist. ❑ ❑ . <br /> Sheriff (firearm Ales only) ❑ ❑ <br /> License Ap06gvgdi r.` <br /> Remarks: <br /> Accepted as complete on: <br /> — By: <br /> Copies. WHITE-Planning, BLUE-Building, "r <br /> GREEN-Fire District GOLDENRbD-Public Works, PINK-Enviromenlal Health. CANARY-APCD PLANNING 2+ 112/88l <br />