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BUSINESS LICENSES & DANCE PERMITS <br /> DATE J—/ 3J2- CATION - BUSINESS LICENSE <br /> COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PLEASE REVIEW AND SIGN1 <br /> FOR APPROVAL & ROUTE BA TO <br /> COUNTER CLERK WITHIN 5 DAYS. L C42 — /y� <br /> 10. <br /> THANK YOU. IPT NO. /,S <br /> �Q v 1 YR. 3 YR. <br /> TO BE COMPLETED BY TH APPUCANT.PRIOR TO FILING THE APPLICATION <br /> .I Bushteinformatlon <br /> ss. <br /> Business Name: U c3� DBA(if difforont): <br /> 1 Z 35 \J ,T-e r rs-LD <br /> Business Address: <br /> Other Businesses at Address: <br /> Phone: AssessorParcel <br /> CNumber(s): �— <br /> 17 <br /> Mailing Address: Z 1�;5 N ,TES— e SU 1 e 1-t J 1 t �5Z-�� <br /> Type of Business: <br /> 1 <br /> i <br /> i <br /> iType of Organization: Single Owner ❑ Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: 3 Estimated Number of Part Time or Seasonal Employees: 2 <br /> I <br /> Owner(s) Name: <br /> Owner(s) Address: <br /> Manager's Name: ojy)(Ti <br /> Previous Business at Address: <br /> Other Local Business Locations (Address): wol\k <br /> Water Supply: Public ❑ On-site Well Sewage Disposal: Public ❑ Septic System - <br /> 1 <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? 'J� Yes ❑ No <br /> Applicant's Signature: Date: <br /> I <br /> STAFF USE ONLY <br /> General Plan Designation: G, Zoning= _ —_ Code Section Number: — N, <br /> DEPARTMENT APPROVED DENIED BY DATE Wv <br /> Development Services <br /> Building Inspection <br /> I <br /> Public Works <br /> I <br /> Environmental Health Div �CGitc 2- <br /> Air <br /> Air Pollution Control Dist <br /> Sheriff (firearm sales only) <br />