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C. of Rap®n Cheek(./) W`New Business License <br /> -�. `R t3RiDIFRiC)E:USE` <br /> Change of <br /> 259 ve.,Ripon,CA 95366 ° e 'Add :�; t �-,:.,:•,,..;::. ,y .;.:'i <br /> Phone 209-599-2108•Fax 209-599-2685 <br /> Etiipin}teeleee�-'�>3�`'•�?• <br /> A,WNICII'AL ConE SECTION 5.04.020 LICENSE REQ1T MM. it is vnlaor persons,fain,cop <br /> i for himse fAr `� ;f <br /> corporation or any other association;or for any person whether as an agetrt,servant, eat oyx. <br /> other person,firm,copartnership,eorporatiou,or other association wi in the co i of the t Esec"br • sw r'r 4 ;Lq•. <br /> on say trade,catTug,occupation,profession or pursuit,until they shall have first o a f as required in tit s =�at<uc '7 <br /> ees or oductr;Y. { <br /> chapter Issuance of a license,howevver,shau not constitute endorsement of the appli coin Y ps bySbe« Buis' tc <br /> or its employees. Any such claim of enders by the applicant or an a p <br /> enunt Y gent of his or product m <br /> immediate revocation of the licenses <br /> Business Name <br /> .r® S <br /> $IrSineSS Location ) <br /> (#and Street) (C' } State (Zip) / <br /> Mailing Address(if different than business location) <br /> Contact Person L^1 G V(ll:�l��'j^S usin Phone#( g L �,�D <br /> Type of Buodess(/)Cheek one <br /> a Retail At Service ❑Professional Q Home Occupation a Residential 4-10 Units d Residential 10-1-Units a.Commercial o.HoteilMotel <br /> O Subcontractor o ContractortNon-ROM Occupation o Manufacturing o Solicitor 0 Outer <br /> Detailed Business Description e <br /> e"At I Ir J L. R <br /> Is the place of business in your ho ? Q Yes o (If checked es,wd business is located within Ripon city limits,you must submit a Home <br /> Occupation Permit Application with applicable fees) <br /> Number of employees(excluding one owner&spouse)VvOrW=g within the City Limits <br /> If applicable,General Contractors Name dr Project Address l <br /> Federal r II?# 't{ State Employer State Contractor# <br /> Firearms Sales? O Yes o If yes,Federal License# Resale# <br /> Qwnerfs}or OffiCeT(S)_][>ef)rmation(Attach separate niece of nailer if additional space is neededl <br /> Type of Ownership(Clyck(./)appropriate box) <br /> t3 Sole Proprietorship V Corporation-list all partners o Partnership <br /> Name >c- Name <br /> Home Address HomeAddress / b' �Ue. <br /> City P�o State Zip ` City /s a4 State_Zip <br /> Home Phone# „� � '�, Home Phone# <br /> Social Security# — Social Security# Q <br /> Drivers License# �g� 3 Q�/' Drivers License <br /> ` ProtDe tiBT <br /> Name d I� !°`01. Phone# <br /> House Address <br /> (#an Street) (City) (State) (Zip <br /> I have read the statements on this application and have indicated those conditions which are applicable to the nature of my business. Further,I <br /> understand the provisions of Ripon Municipal Code Title 5,Chapter 5.04,and I will obtain all necessary information from the appropriate city <br /> employees regarding additional licenses and/or permits that may be required due to the nature,location or other characteristics of my proposed <br /> business activity. I declare under penalty of petjury under the laws of the State of California that the foregoing is true and correct to the best of <br /> Y ns <br /> Ak <br /> m kn d <br /> e. T nee <br /> pplicant SIGNATURE Applicant PRINT CLEARLY Association With Business Date <br /> Department Approved Denied Uitials Comments/Ream <br /> Planning <br /> Building <br /> Other <br /> a-d dgq :Ri en 22 Re1,l <br />