HomeMy WebLinkAboutUkiyo App.pdfRECEIVED
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C,TY OF Atd�- - Business License Application
DIAMOND BAR CITY 1� .VvIOND rIAR
OALiFOHN1A \�/�6w"
Community Development Department -- 21810 Copley Drive" Diamond Bar, CA 91765 -- (909) 839-7030 — vwwa.DiamondBarCA.gov
Sufi use only;.;
Check the Box that Applies: Business License #; '
New Business (Zoning Clearance ❑ Business located Out of City: $32 New Horne 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 $4 fee to fund accessibility programs for disabled persons.
BUSINESS INFORMATION
Business Name: W(itgp Los r ewes Business Phone: (G2,6) 2,52 -R'79 1-
Description of Business Activities: Re.#-ctrlev oe pi+a-e Aceesrvvies aut wo+ t(_1+" tti pt-a. C
ceses . &Rdacrs , and +,oMc rr s, O firs. LLst #1 of Employees:
Business Address: Z005 54,et- t-faw1c C?r. 3
City: plavNowd i3cw State: CM4-fb_i,FA Zip Code: A(-?(o 5
Z419_93�-
yk E-mail: ctWuda , t.usar~ olcs cQ r..a; ! •Gown. P Website: UKZy0- LA • CoM
After Hours Contact: 7 uwi4-R y,Al;a„l Phone: 41M (62b) 15 - 9 -?9 2
PLEASE READ SIGN AND, DATE:
I declare, under penalty of perjury under the laws of the State of California, that the information provided in this application is
true and correct. I understand that the issuance of a business license does not constitute approval of land use, and that I am
responsible for compliance with the City's zoning, building, health and safety requirements and all other applicable laws prior to
the commencement of business.
Business Owner }
Print Name: �jucoi to
Title: Ms. title:
Signature: y Date: 4/tb/lq Sigftatum: Date:
ComDev/Business License/Forms/Business License Application Updated: 812/2018
e1TY OF Zoning Clearance Application
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DIAMOND BAR {New and Relocated Businesses Only}
C A L I F U R N I A
The Zoning Clearance Application is required for all new Diamond Bar
businesses, home -based businesses, and businesses that have moved to a new
location in the City.
ZONING CLEARANCE INFORMATION
Name of Business: Uwk o i,os fteles
Business Address: 2UU5 silvew- Hmol4 Q&-. t$ 3
City: o� � �Md [3ay State: Cali 61
Number of Employees: 1 Number of Vehicles:
Number of Available On -site Parking Spaces: 3
Zip: gr_7e5
Detailed Business Description: E-cov-w•wc® re 4v0f4w vPr- r
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fA c1,85S044es r.�clrwd4'+- , "n _ "1 - trw.:Fr_� fro , ,p1no-e CASC-1 , shc.k-5 . :3
I-lo�-t 6Ased Wj4,ess 0pr Lt�-e o"la.
PLEASE READ, SIGN AND 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 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.
S'rAFFM €r' [ A O NH_ D BA
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P!a ,n;Mg Division F ''i'" 'k. 'Ieck Approval
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Business Owner Name
Title
'� ----�----_..-- -.- ---Business
Owner Signature
Date
Property Owner Name
Title
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P operty Owner Signature
Date
2. i4 , „' y thone.
3. Th
ComlDev/Handout ApplicationslFlnal Appllcationslzoning Clearance for HBB - 1/23/2018
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