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HomeMy WebLinkAboutLA vita.pdfCITY OF Business License Application DIAMOND BAR %k C A I F 0 R N I A Community Development Department - 21810 Copley Drive amond Bar, CA 91765 - (909) 839-7030 -- www.DiamondBarCA.gov Check the Box that Applies: New Business (Zoning Clearance Business Located Out of City: $32 New Home Based Business License Required): $109.91 (Zoning Clearance Required): $109.91 Non -Profit Business: Fee Waived Business Requiring Background Check(s) Change of Location (Zoning Clearance with Proof of Non -Profit Status (Complete back of application form)*: $332 Required): $109.91 Per Person Business License Renewal: $14 Change of Business Name or Ownership Only: $32 Pursuant to SB 1186, all fees include a State -mandated $4 fee to fund accessibility programs for disabled persons. BUSINESS INI`ORIVIATION I City: State: CA- Zip Code: q I_-6 Mailing Address (If Different From Above): City: State: Zip Code: E-mail: 64 A C Y� LA t b S 0 ins, �. co Website: After Hours Contact: Phone: PLEASE "READ, SIGN:AN© DATE I declare, under penalty of perjury under the laws of the State of California, that the information provided in this application is true and correct. I understand that the issuance of a business license does not constitute approval of land use, and that I am responsible for compliance with the City's zoning, building, health and safety requirements and all other applicable laws prior to the commencement of business. Business Owner i� t�l, Owner 2 (If Applicable) Print Name: Print Name: Title: [14 �, e Title: Signature_ Date: Signature: Date: ComDevIBusiness License/FormslBusiness License Application Updated: 81212018 Thp ho-s wfr,,%% es, home-lumod I't"tmlesso." that hi4vo 4fioV4�4 w a no-ov tor'Atfon fol flu� CiPy 12,109ING CLEARANCE' WPORMAYION Number csf Eiviployeop,-, Nombor M VvhWIO*V Nua*or f Avadabia On -sitv PAfklng Spaced (,i ve fe r t"'r-IP'At, Akcq - De-faRed -ASV MAD., *ws W ft, Sm* of C441"Vf',a thAl tv-8 ;rimrrm!o"I vl-k"ul �t-ie jl.';,�"zt� rl.;-jjxl I kilo ... ......... ..... ... .. . . ... � . . ..... .. ...... .... . j 'Title _4�Eyv, if -