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• qutN <br /> APPLICATION - BUSINESS LICENSE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUSINESS LICENSE NO. �(.� ��Q an <br /> 2005 MAR 8 <br /> prmati()n <br /> Business Name:3 O'S ZZu ,e C-44—to 71AZA <br /> Business Address: 114-1144t Aj 7jkqA,7r0 U Rg) Cross St dWy 12-If-S <br /> DBA Mailing Address: .0 1'bpX 2(act f- City: State: CA ZIP: q f 2 14Z <br /> Phone#: 2r-q oc Assessor Parcel Number(s): <br /> Other Businesses at this Address: <br /> Previous Business at Address: <br /> Type of Business: 1)SES (,-A,6 •t✓�X44gTr <br /> Type of Organization: ❑ Single Owner ❑ Partnership 6Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: `Tf^ <br /> Applicant Last Name:kNk ` Applicant First Name: ?r� <br /> Applicant Mailing Address: '0 1?)� <br /> City p State (� ZIPCtk lNk Applicant Phone No: Zd'A_ 314 _3 D y <br /> Water Supply: ❑Public On-site Well Sewage Disposal: ❑ 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 /> Applicant's Signature: 2- <br /> STAFF <br /> .STAFF USE ONLY <br /> G/P Designation: C �S Zoning: Use Type: <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: <br /> Remarks: / • -7� <br /> e42 of P t (r1118 -6h a j- - se <br /> a <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:\DevSvc\Planning Application Forms\Business License(Revised 07-28-04) Page 3 of 8 <br />