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�q APPLICATION - BUSINESS LICENSE <br /> 'i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :. BUSINESS LICENSE NO � <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name Pioneer Americas, LLC dba Olin Chlor Alkali Products <br /> Business Address 26700 S Banta Road Cross St 11'h and Banta <br /> DBA Mailing Address 26700 S Banta Road City Tracy State CA ZIP 95304 <br /> Phone# 209-835-5124 Assessor Parcel Number(s) 252-150-08 <br /> Email ekmuseC@olin com <br /> Other Businesses at this Address Quality Carriers <br /> Previous Business at Address Pioneer Americas, LLC <br /> Description of Business Operation Bleach Manufacturer <br /> Type of Organization ❑ Single Owner ❑ Partnership El Corporation ❑ Other <br /> Estimated Number of Full Time Employees 28 Estimated Number of Part Time or Seasonal Employees 0 <br /> Applicant Last Name Muse Applicant First Name Elizabeth <br /> Applicant Mailing Address 26700 S Banta Road, <br /> City Tracy State CA ZIP 95304 Applicant Phone No 209-835-5124 <br /> Water Supply ❑Public E On-site Well Sewage Disposal ❑ Public Septic System <br /> Will there be any sale of firearms? ❑ Yes E No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I,affirm, under penalty of perjury that all the above information is true and correct Date <br /> I,the Owner/Agent agree,to defend, indemnify, and hold harmless the County and its <br /> agents,officers and employees from any claim, action or proceeding against the County <br /> arising from the Owner/Agent's project. <br /> Applicant's Signature Ips <br /> STAFF USE ONLY <br /> GIP Designation 1 � � Zoning �X% _��\ Use Typef ,'1 �, j <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: <br /> I <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden I ' <br /> Public Works <br /> M H C S D <br /> License Approved For: <br /> Remarks:� 1 0 -, <br /> .J <br /> Occ Grp <br /> 0evSvc\Planning Application Fork\Business License(Revised 01-25-10) Page 2 of 7 <br />