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SU0003175
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU0003175
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Entry Properties
Last modified
6/14/2022 6:55:35 PM
Creation date
6/7/2022 9:34:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003175
PE
2633
FACILITY_NAME
SA-92-09
STREET_NUMBER
889
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
889 E ROTH RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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< APPLICATION - BUSINESS LICENSE <br /> J SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FR <br /> .L. NO. <br /> ECEIPT NO. <br /> EE: 25 p�"� 1 YR. <br /> QIVyi'J. 7 p. Y,:7H IN ......::< <br /> :.;::::::::,.:.::::::::::::.:::::::..:A'.i'k1Ck t 1Q14:.::......:::...::::,::::::::.::::::..:::.:::::: <br /> uatness;informatton.:;:.::::::: '.>::>::::::>::>>::::<>:::;:<>:>:::: <br /> Business Name: Lc C I ) C f C k S f �i� DBA(if different): <br /> Business Addross: E, !\ �-!` /\0 ,, I <br /> 0 <br /> Other Businesses at Address: <br /> Phone: 320 __234- 6 27 Assessor Parcel Number(s): ' 1 %3 - <br /> Mailing Address: <br /> t•J�:�cel <br /> Type of Business: 7- <br /> � <br /> Type of Organization: ❑ Single Owner ❑ Partnership Ig'Corporation ❑ Other: <br /> Estimated Number of Full Time Employees: ,20 / Estimated Number of Part Time or Seasonal Employees: <br /> C <br /> Owner(s) Name: ✓J,a n; // ari C Udi i; <br /> 4 ft-� <br /> Owner(s) Address: /03 Uc?//c_, yJ^ (/6 <br /> Manage, s Name: - <br /> r <br /> vious i3usiness at Address: <br /> er Local Business Locations (Address): <br /> er Supply: EI Public On-site Well Sewage Disposal: ❑ Public a Septic System <br /> Will there be any retail sales pis Is ovol ers r t r concealable firearms? ❑ Yes o <br /> Applicant's Signature: Date: <br /> 4 <br /> : :>::::xx.:;; <br /> General Plan Designation: t rvt i )ALI>UST12-i/ Zoning: M - I Code Section Number: <br /> DEPARTMENT APPROVED DENIED BY DATE l <br /> Development Services <br /> —� la •31 <br /> Building Inspection <br /> Public Works <br /> Environmental Health Div <br /> Air Pollution Control Dist <br /> Sheriff (firearm sales only) <br /> Fire District <br /> License Approved For: <br /> Remarks: SA - q 01 <br /> Accepted as Complete: Data: <br /> Copies:WHITE-Development, BLUE-Building, GREEN-Fire District, CANARY-Public Works, PINK-Environmental Health, GOLDENROD-APCD <br />
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