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4 <br />APPLICATION BUSINESS LICENSE <br />SAN JOAQUINICOUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />BUSINESS LICENSE <br />k <br />Business Name: ism ine., 09A' <br />AOK-1 ,l <br />IMA, <br />Mffioul, MR= 1211� 114C <br />MIA <br />Business Address: I EN(4 F—L 11 (x)\ <br />Cross St <br />DBA Mailing Address: A0 6 V <br />Phone #: 9xq- it 7-9�-;;V <br />C : I i State: CA zip: <br />Assessor Parcel Number(s): LO 5 - 170 - <br />Other Businesses at this Address: <br />Previous Business at Address: 4 <br />Type of Business: <br />Type of Organization: [I Single Owner <br />El Partnership <br />Corporathon [I Other: <br />Estimated Number of Full Time Employees: <br />Estimated Number of Part Time or Seasonal Employees: Z2 <br />Applicant Last Name: J-4(1 +c -o <br />Applicant First Name: <br />Applicant Mailing Address: 0 <br />City ljjd,eA State0, <br />r <br />ZIR? <br />Applicant Phone No: –7A <br />Water Supplf._1Wublic [I On-site Well <br />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 BUILJ)ING PERMITS. <br />1, affirm, all the above information Is true and correct <br />Applicant's Signature: <br />Vf � AD <br />STAFF USE ONLY <br />GIP Designation: Cn L4(— Zoning: <br />Use Type: <br />DEPARTMENT APPROVED <br />DENIED <br />V <br />D) <br />DATE <br />Development Services <br />Planner Name: <br />Building Inspection <br />Environmental Health Div <br />� 4 LMAAA4rt1( <br />Fire Warden <br />Public Works <br />Solid Waste <br />Enforcement Officer <br />M.H.C.S.D. <br />License Approved For. <br />q-- <br />Remarks: tr P"�2 NL-- <br />9q) <br />to Lu te�)Ljne� <br />�51 1 <br />�Occ <br />�Grp - <br />Accepted as Complete: <br />I <br />Date: <br />F:0evSvc\P1anning Application Fo"s\Business License (Revised 07-28-04) Page 3 of 8 <br />