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i <br /> � ,..� lowAPPLICAT101W BUSINESS LICENSE <br /> SAN JOAQUIN.000NTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> " EUSINESS LICENSE <br /> - <br /> Sustness Name t r r` S <br /> K, n/ <br /> .s. <br /> DSA.no,Adtlre;s Q $ Ar <br /> �✓ $tateIP � ; <br /> Phone# Assessor Parcel Nurnber(s): .� <br /> ol`n a 5-3/ <br /> Other Busmessea at thls Address , <br /> Previous f3usiriess of Address: ' �S QJ(` (!� <br /> Type of Business P S ,,�'a✓-rl�/G G, - i <br /> Type of Organization: ❑ Single Owner ❑ Partnership XCorporation ❑ Other. <br /> Estimated Number of Full Time Employees: 9 40 Cl I Estimated Number of Part Time or Seasonal Employees: II hti <br /> Applicant Last Name: j 'Ps Applicant First Name: a vL <br /> Applicant Mailing Address: 0 8 p17-39/ <br /> City S4r=/L.tf-0/1/ State ZIP PS�A Applicant Phone No: goo a'79 0g'3 bSos <br /> Water Supply: []Public ❑ On-site Well Sewage Disposal: ❑ Public ❑ Septic System <br /> Will there be any sale of firearms? ❑ Yes KNo <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> 1,affirm,all ab in rmation i and correct Date: <br /> Applicant's Signatu <br /> STAFF USE ONLY <br /> G/P Designation: Zoning: & I Use Type: h S I 2 k r LAt 15 <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> M.H.C.S.D. <br /> License Approved For: eL1 t- e, <br /> Remarks: <br /> �Ld �6 <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:\DevSvc\Planning Application Fonns\Business License(Revised 07-28-04) Page 3 of 8 i <br />