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®® <br />A 4 2 200 APPLICATION - BUSINESS LICENSE <br />E(, 2 1 200?8AN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />AGENT HEALTH j�--� <br />RAjjT/S6R"CEjSty Development Dept, BUSINESS LICENSE NO._ <br />�B;COMp�.�TEb,BYT>�� ° ' x,4r`CjIT�Itlt7l� TO FILII�THS `AP�L.�i� OI$ <br />v; .. rs, ;k•p <br />----------- <br />Business Name: .14ddliALs, I;7 <br />Business Address: (� 5' aW tell <br />Cross St <br />DBA Mailing Address: -5dm <br />City: � <br />State: ewl <br />ZIP: 9.52/s <br />Phone #: (ZDq) I3/-/4,74> <br />Assessor Parcel Number(s): M_ a0- eo? <br />/' <br />Email: draw der.s /ge/'A/�i zvlk5 . eew <br />Other Businesses at this Address: ,Tjet7-'1;tAew1���. <br />Previous Business at Address: <br />Type of Business: <br />Type of Organization: ❑ Single Owner ❑ Partnership Corporation ❑ Other: <br />Estimated Number of Full Time Employees: 35 <br />Estimated Number of Part Time or Seasonal Employees: <br />Applicant Last Name: <br />Applicant First Name: beal) <br />Applicant Mailing Address: (p(y(y Jr 111?6 a l a A . <br />City `j fpC� p� <br />State C# I <br />ZIP Cj z j <br />Applicant Phone No: CZDQ <br />Water Supply: ❑Public On-site Well <br />Sewage Disposal: ❑ Public 19 Septic System <br />Will there be any sale of firearms? ❑ Yes X No <br />NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br />I, affirm, all the abov rmation i orrect <br />Applicant's Sig ure:� <br />Date: <br />/�✓�" �O <br />STAFF USE ONLY <br />, - - <br />G/P Designation: .� L Zoning: �. Use Type:wn- a U I <br />DEPARTMENT APPROVED <br />DENIED <br />DATE <br />Development Services <br />Planner Name: TLIJIWA <br />Building Inspection <br />Environmental Health Div <br />z D <br />Fire Warden <br />Public Works <br />Solid Waste <br />Enforcement Officer <br />M.H.C.S.D. <br />License Approved For: 1h - -,) ! " f F � <br />Remarks: , ` tX IJR Awn ! LaAS U/UQ <br />Occ. Grp. <br />Accepted as Complete: <br />Date: <br />F:\DevSvc\Planning Application Forms\Business License (Revised 08-30-06) Page 2 of 7 <br />