Laserfiche WebLink
s ' <br /> •' � )D: tea .. r <br /> SAN JOAQUIN COUNTY Control No. <br /> N ease Issue <br /> BUSINESS LICENSE APPLICATION 0. Le <br /> PFaHIn Receipt No. <br /> Fes� J, 1 Yr.p 4 Yr.1:31 <br /> r ''a <br /> T. <br /> t4V <br /> Business Name:i c, S'c-r V Phone:4; 1• 1 <br /> Business Address:, -Z 1 n/• t+ ) r ! S cirt t^_) 4 r / S-lr�r ld E o t C'4 4.� <br /> Other Busine$s at Address ��1I'i✓'�': ^r y <br /> Assessor Parcel Number(s): y <br /> Mailing Address: tie Q )Q 1 r £ o 1.N) c., r7c a'N r 4 <br /> � l i n'r <br /> Type of Business: (.:ri�� 1i BNA („ -;- <br /> Will there be any retail sales of pistols, revolvers or other concealable firearms? Q Yes VNQ (If yes, Sheriff's Office <br /> review is required.) <br /> Type of Organization: gSingle Owner, ❑ Partnership, p Corporation <br /> Estimated Number of Employees: _ Full time, Part time or Seasonal <br /> Owner(s) Name:4 �� i(sr I - A Y. ) _%13 c� ( (ALI f.._ z J74 <br /> Owners) Address: ' '.` `.e't•. t,( .. 1 c V. / Y')[.rl 411(r. r'`c. UTILITIES ° <br /> Manager's Name:( _V' L 4_ Or t: 1,+ e-, c' G WATER: Public 6 Well ❑ <br /> Previous Business at Address:(,O'lle-1Ty'rn' Sanitary: Public P( Septic ❑ <br /> Other Local Business Address,ps): <br /> Applicant's Signature: ` ' '-• . •r'i - Date: . <br /> STAFF USE ONLY T <br /> Zoning: '`5 Section No.: ' General Pla <br /> .1�1 l• f r n: <br /> 1 r <br /> Department Appro fed Denied By Date <br /> Planning Division © ❑ / S=,{y ?) ; <br /> Building Division ❑ ❑ <br /> Fire District ❑ ❑ "� f <br /> Public Works XEl <br /> Environmental Health Div. El © %Y �Q - <br /> Air Pollution Control Dist. ❑ ❑ <br /> Sheriff (firearm sales only) ❑ ❑ <br /> License Approved For: A - ( 4, <br /> Remarks: 4195 71 <br /> Ob- .s <br /> Accepted as com ete q11: By: <br /> Copies:WHITE-Planning, BLUE-Building,GREEN-Fre Districl.GOLDENROD-Public Works PINK-Enwomental Health Div.,CANARY-APCD PIAMMD 21 (9190) <br />