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" REVIEWED ANG APPROVED, PLEAS <br /> VN TO, <br /> Zs A N JO N COUNTY COMMUNIT. <br /> DEVELOPML_ <br /> ATTN:OWEN(4683120) ESS LICkASE <br /> 1810 EAST HAZELTON AVENUE DPMENT DEPARTMENT <br /> STOCKTON CA SSM <br /> B.L NO. 01 q <br /> RECEIPT NO. 2 :Z <br /> FEE: <br /> gorje _1a,4'1111 TI'l-e b;5,00� <br /> U LIN rtl <br /> P 12-1111 INN <br /> 1 -w <br /> M aw,; <br /> Business Name: 7gre, Q 15 BA(if different): <br /> Business Address: 3 j. q,,j2,, S k-'Ib .5/-6ckto1j L72 5 <br /> Other Businesses at Address: <br /> Phone: 5 � i - -5 7S Assessor Parcel Number(s): 410 1!7 <br /> Mailing Address: 'F.O. Z)Ck 1 o.3 Z.3 C, <br /> Type of Business: <br /> Type of Organization: E21"Single Owner 0 Partnership [I Corporation 0 Other: <br /> Estimated Number of Full Time Employees: I Estimated Number of Part Time or Seasonal Employees: <br /> Owner(s)Name: O 2 C L A,I-/ <br /> Owner(s)Address: <br /> Manager's Name: <br /> Previous Business at Address: <br /> Other Local Business Locations(Address): <br /> Water Supply: 0 Public 2"On-afte Well Sewage Disposal: W"Public 0 Septic System <br /> Will there be any retail sales of pistols,revolvers or other concealable firearms? 0 Yes Er"No <br /> NOTE: ANY CHANGE OF OCCUPANCY WILL'REQUIRE BUILDING INPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> Applicant's Signature: Date: <br /> .......... <br /> ..... ...... <br /> General Plan Designation: Zoning: Code Section Number: <br /> Gen <br /> DEPARTMENT APPROVED DENIED BY DATE <br /> J_- <br /> Development Services cz <br /> Building Inspection <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sheriff(firearm sales only) <br /> Fire District wah-rb— <br /> License Approved For: Ll <br /> Remarks: <br /> Accepted as Complete: Date: <br /> Copies:WHI"TE-Development,GREEN-Building,CANARY-Fire District,PINK-Environmontal Health,GOLDENROD-APCD <br /> PA_BLLG Rev.June 16,199 <br /> .2- <br />