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r' L <br />APP CATION O BUSINESS LICENSE <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />S.L NO. — l Z 3F <br />RECEIPT NO. Z /,5_5 c9 <br />ANNUAL FEE: �J <br />' <br />Business Nsme,40�j / 1L �S eJekV 11 <br />t9BA(if different). <br />y <br />Business Addresa:/�� �i /�?�r�� C�, c/ S�� S <br />Other Businesses at this Address: 410 <br />Assessor Parcel Number(s):1 <br />Mailing Address: <br />Type of Business: <br />i <br />Type of Crganization: ❑ Single Owner Partnership ❑ Corporation <br />I ❑ Other: <br />Estimated Number of Full Time Employees: (� Estimated Number of Part Time or Seasonal Employees: / <br />i <br />. // <br />Business Owner(s) Name: �-'1J1TjEZ �G%P,�� � � "Z_ <br />Business Owner(s) Address:xwav <br />Managers Name: <br />Previous Business at Business Address: <br />Other Lccsl Business Locations (Address): <br />`Nater Supply: (Public ❑ On-site Well <br />Sewage Disposal: $ Public ❑ Septic System <br />iWill there be any retail sales of pistols, revolvers or other concealable ftrearmsl ❑ Yes it No <br />NOTE: ANY CHANGE OF OCCUPANCYWILL REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br />I Applicant's Signature: �� �'� \ � ., � % <br />j' Date: <br />General Plan Designation: C/ r_7 <br />Zoning: _(-_7 <br />DEPARTMEINT APPROVED DENIED BY DATE <br />Development Services I <br />Building !nscection I �/ <br />�=rrvironmerttal Hearth Civ <br />I <br />�. <br />Air Pollution Control Dist <br />Sheriff (firearm sales only) <br />Fire District z7a(dr- <br />Ucsinsonse Approved For, pgZi i�`p 6'AA f2 �' !' <br />Remarks: r _ <c / tjd <br />Accepted as Complete: <br />Date: <br />Copies: WHITE -Development, GREEN -Building, CANARY -Piro District, PINK -Environmental Health, GOLDENROD-APCD <br />PA BLLO Rev. <br />