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APPLICATION - BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> B.L. NO. <br /> RECEIPT NO. 4oz-7 <br /> FEE: 3 YR. <br /> . .............. .......... <br /> X <br /> 'A -1 <br /> 0 0 M ET. P. .0 N E L <br /> ': P.P <br /> TH a <br /> R� PP . 9 ru r . <br /> .......... ..... <br /> ................ .......... <br /> .................... ....... .............. <br /> ...........X: <br /> ....... ....... <br /> . ... .... <br /> ......... .... .. <br /> Business Name: DBA(if different): <br /> Business AddUJ E4 gi> Al—tnjne <br /> Address:- S2?fl L <br /> Other Businesses at Address: fYl sL <br /> Phone( -�?6_7 "' I Assessor Parcel Number(s):@04) 1,111 <br /> Mailing Address: 19 9_z��J& <br /> Type of Business: <br /> Type of Organization: XSingle Owner 0 Partnership 0 Corporation 0 Other: <br /> Estimated Number of Full Time Employees: <br /> F_ I Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s) Name: Lv6�N <br /> Owner(s) Address: Izo r2 i '_H2'!51 A-0 <br /> Manager's Name: <br /> Previous Business at Address: <br /> Other Local Business Locations (Address): <br /> Water Supply: 0 Public X On-site Well TS4-w'.jge Disposal: [I Public Septic System <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? El Yes N <br /> Q -x <br /> NOTE: ANY CHANGE OF CCU4 NCY MLL RE BUILDING INPROVEMENTS AND NECCESSARY BUILDING PERMITS. <br /> 1 <br /> Applicant's Signature: Date; <br /> .... ........... <br /> ................... <br /> .................... <br /> - ............... <br /> .......................... ... ................. <br /> ...... ................ .... ..... <br /> .. ..............:. .;>:::z::...::.;:;::....;:.;' <br /> .. ..................... ...... ............ <br /> ........... .. <br /> ............................... .. .. ...... ................ <br /> ................. <br /> ................ <br /> ............. . <br /> ..... ........ . ........ .................... <br /> ............. <br /> General Plan Designation: A I e_)rofk+Zoning: Code Section Number:q <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> Development Services Z(, <br /> Building Inspection <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sheriff(firearm sales only) <br /> Fire District <br /> License Approved For: <br /> Remarks: U I <br /> 6-7— rcytelllG <br /> -7' <br /> Accepted asComplete: Date: <br /> Copies:WHITE-Development, GREEN-Building, CANARY-Fire District, PINK-Environmental Health, GOLDENROD-APCD <br /> PA-BLLG Rev.September 2, 1992 <br />