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r <br /> SANT JOAQUIN! COUNTY CanLr°I "0` <br /> Date License Issued <br /> w BUSINESS LICENSE APPLICATION s. 1. No- <br /> Receipt Na. <br /> Feed t Yr.a Yr.C3/-j <br /> iii+oA <br /> Business Name:i rf ('11 C, Phone:C �I " <br /> Business Address:.'> /\L ''re'. <br /> f P, <br /> Other Businegs at Address: - 7/ <br /> u <br /> Assessor Parcel Number(s): <br /> Mailing Address: ' S r 1k 4 C)r, <br /> Type of Business: f I n {5 k5 i 2n:n',o'A t,{ 4: <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? Q Yes VNo (if yes, Sheriff's Office <br /> review is required.) <br /> Type of Organization: k Single Owner, ❑ Partnership, P Corporation <br /> Estimated Number of Employees: Full time, Part time or Seasonal <br /> Owner(s) Name:f �I1(k(' � .–��'�1 { ( 1 C� `� -tea-ke <br /> Owner(s) Address: f c UTILITIES , <br /> Manager's Name:r '1 :� ` ` WATER: Public 6.Well ❑ <br /> Previous Business at Address:( ":/, 1) 'Vk n r � _�s�, -r `_ � �" t ( `� Sanitary: Public Pr Septic <br /> Other Local Business Address{$s): <br /> Applicant's Signature: A` r' -. Pate: 2- 20 — <br /> STAFF USE ONLY <br /> Zoning: Section No.: '" ' .1�l I. .. General Plan: .;I'•f�.:s. !. _.. "_�_�—�_ <br /> Department Approved Denied By Date <br /> Planning Division Q ❑ `t �� <br /> Building Division ❑ ❑ <br /> Fire District ❑ ❑ <br /> Public Works ❑ <br /> Environmental Health Div. ❑ ' <br /> Air Pollution Control Dist. ❑ ❑ <br /> Sheriff (firearm sales only) ❑ ❑ <br /> License Approved For: <br /> Remarks: kc lth f� �Grtk Gf �'S .5 <br /> Accepted as com ete qp: y: <br /> Copies:WHITE-Planning. BLUE-Builcling, GREEN-Fire District, GOLDENROD-Public Works, PINK-Enviromenial Health Div.. C.A,1ARY-APCD PLANNING 21 1®1901 <br /> _r � <br />