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APPLICATION - BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> B.L. NO. F—>I-- - 92- — -D& <br /> RECEIPT NO. Z Zv -7 4 <br /> FEE, 50��' 1 YR. 3 YR. <br /> ..........................................:.::.:..:,.::...::::::.,.:::::::,..::::...:�::::.:::t.:Y}..}:.}}};Y}:::..::�.:_::::::::::::::::.�.i:.:4>..:vi:{•Y:.YYY};}Y:.i:{.ii}:.;};:.}..:;:YY:.................................... <br /> ......... ............... .:::.:•...,....:...... ..: .. ..:..?•nv.:: ....... ................. ...:..:v:::v.:.:h:w.:v:n}!•ti•ti4'•}:t•}:•}}•}}}'.}'4} \w;:•:•t:x<::.:•.:..v.::;$:::::::::::::::::n•::::::::::nv::........ <br /> ;.t. .. , .;.;.V•:.1:, v.4?`;•:v'•}�•4•�r:.:..}..;{,.?.}. .. .;., '•.::v::v;y...:.r,.n;.:,n}.:..{}:•;•::... <br /> ::: •: rt: :: `.��� :: i :�Mlrfl.��1�:::I�I:H�(l Ri {1�)'.�:';;F1RMti�.:'::........... <br /> :iY ::.�..... .. v.•;....:.::•:;;. .:...,. ...:::...v..::4'•r.:i•1•;.•:^::v:•:.4•/r::w• ;••{.:m}yiYf'r w4}r}•:4}i}:y. <br /> ......... ....• ..:::::::::.:�.�::.::_:::::::::::v:•,....•:::?i/'•i}'}}'}}:n:�ii}}:`}i:YYiY:::v::Y:�}i}}i}yt4}YYYii: Y::`:iCY}:4: Y:ii:::Y:.Y:.Y::.:::.}:: Yi:Y:?:.::.ii}ii::.::.:::.Y::.Y:.::.}YYYY}:ii::::Y:.:::.YYiY}}::�:Y:YYiiY::.:...i......::':: <br /> 4� Y4 <br /> Business Name: (H different): <br /> Business Address: Z IS <br /> Other Businesses at Address: <br /> Phone: , / Z d Assessor Parcel Number(s): <br /> Meiling Address: Axwle <br /> Type of Business: <br /> Type of Organization: )a Single Owner ❑ Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s) Name: A10 z <br /> Owner(s) Address: 7vco <br /> Manager's Name: <br /> Previous Business at Address: <br /> Other Local Business Locations (Address): y� <br /> Water Supply: ❑Public AT On-she Well Sewage Disposal: ❑ Public Septic System <br /> Will there be any retail sales of pistols, revolverR or other concealable firearms? ❑ Yes No <br /> Applicant's Signature: Date: <br /> ::....:...........................................::.:::.:::::::::::::..........:................................... w::...:... <br /> General Plan Designation: U L— -, Zoning: Code Section Number: <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services � /� t�t C)�1� 1 `9 L <br /> Building Inspection / <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sherif (firearm sales only) <br /> Fire District <br /> License Approved For: <br /> Remarks: <br /> 2 "i /eel <br /> Accepted as Complete: Date: <br /> Copies:WHITE-Development, GREEN-Building, CANARY-Fire District, PINK-Environmental Health,GOLDENROD-APCD <br /> PA_BLLO Rev. February 21, 1992 <br />