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P`t`'r'"t oAPPLICATION - BUSINESS LICENSE <br /> y SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> X >> <br /> • BUSINESS LICENSE NO. <br /> 2 006 AUG 10 <br /> 77 <br /> r <br /> .. ..-.. Lr .x. ..z „Fi.!a'u.,H'C <br /> llr <br /> .. :'�. r.e��d T. e .Y7Y <br /> Business Name: <br /> Business Address: r (� , Cross St <br /> 7;. <br /> DBA Mailing Address: City: State: - ZIP:. <br /> Phone# '/ Assessor Parcel Num r(s): ! -70 Businesses at this Address: <br /> Previous Business at Address:, <br /> Type of Business: <br /> Type of Organization: ingle Owner ❑ Partnership ❑ Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: Estimated Number of Part Time or Seasonal Employees: <br /> Applicant Last Name: Applicant First Name: <br /> Applicant Mailing Address: <br /> City MIA, State ZIP Applicant Phone No: <br /> Water Supply: []Public On-site Well Sewage Disposal: ❑ Public q>Septic System <br /> Will there be any sale of firearms? ❑ Yes No <br /> NOTE: ANY CHANGE OF OCCUPANCY MAY REQUIRE BUILDING IMPROVEMENTS AND NECESSARY BUILDING PERMITS. <br /> I,affirm,all the abov informati is true and correct Date: <br /> t� u <br /> Applicant's Signature: <br /> STAFF USE ONLY <br /> G/P Designation: Zoning: _ Use Type: <br /> DEPARTMENT APPROVED DENIED DATE <br /> Development Services Planner Name: -7 9 <br /> Building Inspection <br /> Environmental Health Div _10'a <br /> Fire Warden <br /> Public Works <br /> Solid Waste <br /> Enforcement Officer <br /> M.H.C.S.D. <br /> License Approved For: <br /> A has T - ao <br /> Remarks: <br /> Occ.Grp. <br /> Accepted as Complete: Date: <br /> F:\DevSvc\Planning Application Forms\Business License(Revised 10-20-05) Page 3 of 8 <br />