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03/03/2009 TUE 10: 34 FAX 15105330815 Arro,« Sign Co. Q002/004 <br /> Y� I <br /> APPLICATION - BUSINESS LICENSE <br /> °•� --° RECEIVED <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> JUL 1 5 209 BUSINESS LICENSE NO. Cts _ <br /> 'Fi <br /> C <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> [DBA <br /> siness Name: ZL; <br /> siness Address 31 J ,— ;�� Cross St <br /> Mailing Address: O`�i Lf"– R City: CAV– :1t�' State: n ZIP:-74601 <br /> Phone#: S tCS 5 5� �(� 1 � Assessor Parcel Number(s): 'Q 7' <br /> Email <br /> Other Businesses at this Address: <br /> Previous Business at Address: <br /> J . �13 k1k9 Lia, :� <br /> Type of Business: �, l JUL RMARONMEN7 �(� <br /> TTSL !EAL <br /> PERMIT/SERVICES <br /> Type of Organization: ❑ Single Owner ❑ Partnership Corporation ❑ Other <br /> Estimated Number of Full Time �e Employees: ZEstimated Number of Part Time or Seasonal Employees. <br /> i Applicant Last Name: Applicant First Name: <br /> I <br /> Applicant Mailing Address: <br /> i <br /> i City State ZIPS '1�c I Applicant Phone No: Sf(�' S <br /> Water Supply: ublic ❑ On-site Well Sewage Disposal J� 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 BUILDING PERMITS. <br /> I, affirm,all the above information is true and correct Date <br /> j Applicant's Signature: <br /> STAFF USE ONLY 4,t <br /> G/P Designation: Zoning. Use Type: o v t I <br /> DEPARTMENT APP VED DENIED DATE G <br /> ! Development Services v I Planner Name: <br /> Building Inspection <br /> i_ <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> iM.H.C.S.D. <br /> Sheriff(Junk Dealers Only) <br /> License Approved For: <br /> i <br /> Remarks: i _� •{�r� , <br /> OoD7e 2 <br /> Occ.Grp. <br /> Accepted as Complete. Date_ <br /> F:1DevSv6,Plar.ning Application Forms\Business License(Revised 05-0t-08) Page 2 of 7 <br />