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APPLICATION - BUSINESS LICENSE <br />SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />B.L. O. 93 - J00 <br />RECEIPT NO. <br />FEE: <br />.0 <br />IN M, <br />Business Name: r <br />±)(fro CA 4 V"t DBA(d different): <br />Business Address: .S 55-2-01 <br />,of <br />Other Businesses at Address: <br />Phone: /- 2 ol- 9 31, 5 24 9 <br />lAssessor Parcel Number(s): 0 74- 3'D <br />Mailing Address: �zlcv - z-:: - got, <br />Type of Business:& <br />BY <br />17 <br />Q/ (( A n <br />Type of Organization: �! Single Owner 0 Partnership 13 Corporal,%&/O Other: <br />Estimated Number of Full Time Employees: <br />I Estimated Number of Part Time or Seasonal Employees: 2- <br />Owner(s) Name: #Rw <br />Owner(s) Address: 0op - E, Warf x1ro k4l. <br />Manager's Name: PX Lb —TTE <br />Previous Business at Address: _3Z - -ak KA" X91, C4-90? <br />Other Local Business Locations (Address): <br />Water Supply:" Z!ublic 0 On-site Well <br />T -Swag, Disposal: A Public 0 Septic System <br />Will there be any retail sales of pistols, revolvers or other concealable firearms? 0 Yes )0 No <br />NOTE: ANY CHANGE OF OCCUFANCY WILk IJEQUIRE BUILDING INPROVEMENTS AND NECCESSARY BUILDING PERMITS. <br />Applicant's Signature: � E <br />I Date: -2,2_—?3 1 <br />Copies: WHITE-Developmont, GREEN -Building, CANARY -Fire District PINK -Environmental Health, GOLDENROD-APCD <br />PA—BLLG Rev. September 2, 1992 <br />� YS,51,0 <br />Kki � .... .. ....... ... <br />. . . . . . . . . . . . . . . . . . ...... x; . . . . . . . . . . . . . . . . . . . . . . . . <br />General Plan Designation: <br />Zoning: 4f F <br />Code Section Number: <br />DEPARTMENT <br />APPROVED <br />DENIED <br />BY <br />DATE <br />Development Services <br />Building Inspection <br />Environmental Health Div <br />t, 150 1A <br />Air Pollution Control Dist <br />Sheriff (firearm sales only) <br />Fire District <br />License Approved For: <br />Remarks: <br />Accepted as Complete: <br />Date: <br />Copies: WHITE-Developmont, GREEN -Building, CANARY -Fire District PINK -Environmental Health, GOLDENROD-APCD <br />PA—BLLG Rev. September 2, 1992 <br />� YS,51,0 <br />