Looks like the common kanji for Akimoto = 秋本. Not 100% sure for Joji but I think it may be: 譲二
I think the address is
山口県岩国市楠町1丁目6-27 (1-6-27 Kusunokimachi*, Iwakuni-shi, Yamaguchi-ken)
which leads
here.
*It looks like they wrote
Kusunokicho on the form but the correct name appears to be
Kusunokimachi, at least these days. Either pronunciation is possible for the kanji.