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- <br /> :K <br /> APPLICATION-BUSINESS LICENSE <br /> 1ps . S JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> BUSINESS LICENSE NO. Z <br /> co <br /> CD <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> C\1 <br /> _.. `/ //11 , <br /> j lness Name: "V S CU.JI BA(1/dlHe <br /> Brent). <br /> B lness Address: C- 3 <br /> Ot er Businesses at this Address: ,v <br /> Phne: 2Lam- - L. _ 1 /,c <br /> I — � Assossor Parcel Number V <br /> Number(s): ��`� <br /> Ma ling Address: C / <br /> Tyileof Business: <br /> T p of Organization: ❑ Single Owner VI-rtnership ❑ Corporation ❑ Other: <br /> OEsf ated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> 0 Bus ness Owner(s)Name: � - <br /> Bus ness Owner(s)Address: G zU <br /> Man er's Name: <br /> Pre ous Business at Address: <br /> 04 Local Business Locations(Address): J <br /> WalSupply: ❑Public On-slie Well Sewage Dls osal: ❑ Public Se tic System <br /> Wlll erebeany sale of firearms? ❑ Yes No <br /> NOT :ANY CHANG "CCUPANCYMAYEOUIRE-BUILDING IMPR EMENTS AND ECESSARY BUILDING PERMITS. <br /> Appl ant's Signature: r � Date: <br /> ( <br /> STAFF USE ONLY r_ <br /> Gene I Plan Designation: Zoning., C <br /> DEPARTMENT APPROVED DENIED v BY DATE <br /> Devel pment Services ✓ -717'e10-6) <br /> /Build/g Inspection <br /> Envlra mental Health Div <br /> 'Fire Dl trlct <br /> Air Pol utlon Control Dist <br /> En/ort ment Of/Icer <br /> Sherif/ <br /> L/tens Approved For: C cS-Z-CZ. i` <br /> Remark : <br /> Accept as Complete: Date: <br />