Laserfiche WebLink
R <br /> P <br /> -0- <br /> APPLICATION - BUSINESS LICENSE <br /> 2:• i ? SAN JOAQUIN COUNTYCOMMUNITY DEVELOPMENT DEPARTMENT <br /> :< <br /> BUSINESS LICENSE NO. <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: <br /> Business Address: Z L p �!A�f rlClO CrossSt <br /> DBA Mailing Address: i 567 City: 5 TO C tl State: e�A ZIP:9 S�r <br /> Phone#: 2v9� y�— f� LrQ Assessor Parcel Number(s): Z Z <br /> Email: <br /> Other Businesses at this Address: <br /> Previous Business at Address: <br /> Type of Business: /./PL✓ <br /> Type of Organization: Single Owner ❑ Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Applicant Last Name: Applicant First Name: (J✓� �� - <br /> Applicant Mailing Address: 02 j G l,q 7�/1 Zee QW <br /> City State (�4 ZIP6?_ Applicant Phone No: �G 9 �y�� L <br /> Water Supply: Aublic ❑ On-site Well Sewage Disposal: APublic ❑ 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: Q <br /> Applicant's Signature: AV4.�_,2 Q�7—C��� �d / <br /> STAFF USE ONLY <br /> G/P Designation: Zoning: Use Type: &I xxq0, <br /> DEPARTMENT APPROVED DENIED DATE _ <br /> Development Services Planner Name: j 1, 6 <br /> Building Inspection <br /> Environmental Health Div <br /> Fire Warden <br /> Public Works <br /> M.H.C.S.D. <br /> Sheriff(Junk Dealers Only) <br /> License Approved For: <br /> • fir�' r r-1 <br /> Remarks: <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:10evSvc\Planning Application FormslBusiness License(Revised 05-01-08) Page 2 of 7 <br />