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•" — AA h <br /> APPLICATION-BUSINESS LICENSE <br /> •°'z'IFowa'?• <br /> FN QU OUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ePy BUSINESS LICENSE NO. <br /> !E 55 <br /> TO BE COMPLETED BY THE APPLICANT PRIOR TO FILING THE APPLICATION <br /> Business Information <br /> Business Name: 1 / --7tf/-�iqJ l I EL DBA(if diffeerenQ: / <br /> Business Address: / / G �t> p !�/ /�,�j, G �1 C� a t <br /> Other Businesses at this Address: A,/--/U C <br /> Phon¢: tJ� �/3i — �,� � Asses sorParcel Number(s): -2,2,0-01063 <br /> Mailing Address: ' �6 O <br /> C. .j L/yam%L�/, ��IJ-� d1" � f <br /> Type of Business: <br /> / II <br /> Type of Organization: ❑ Sln le Owner P"P�aqnershlp ❑ Corporation ❑ Other. <br /> Estimated Number of Full Time Em /o ees: Estimated Number of Part Time or Seasonal Employees: / <br /> Business Owner(s)Name: l L,'LI A-07 J d zl <br /> Business Owner(s)Address: / ?-/D / 6 ':z) <br /> Manager's Name: C' <br /> Previous Business at Address: tJ <br /> Other Local Business Locations( <br /> Address): <br /> Water supply.,I 0 Public .0"On-site Well / Sewage Disposal., ❑ Public GYSe Uc System <br /> Will there be an salo of firearms? ❑ Yes JYN <br /> NOTE.ANY CHANGE OF OCCUPANCY 41A UIRE ILDI IMPRO MENTS AND NECESSARY BUILDING PERMITS. <br /> rn <br /> Applicant's Signature: Y,L_-� i` Date: <br /> w/ <br /> Xs.'`rSTAFF`IISE�ONLY <br /> General Plan Designation: Zoning: <br /> DEPARTMENT APPROVED DENIED BY !DATE <br /> Development Services L,-' <br /> Building Inspection l <br /> Environmental Health Div 1— <br /> Fire District <br /> Air Pollution Control Dist CA <br /> Enforcement Officer <br /> Sheriff <br /> License Approved For: <br /> Remarks: <br /> Accepted as Complete: Date: <br /> -2- <br />