Mailing City* Mailing State* Mailing Zip*

Federal I.D. Number (FEIN) California Resale No
State License Number State License Type
Expiration Date

Business Description (Include type of goods or services offered, products manufactured and stored, number of employees, business hours, wholesale or retail, sidewalk vending, etc) Only one (1) business activity per application.*

WDID # *

Lease Space Square Footage

Enter number of units*

Is this a home based business? * Yes No

Please upload a copy of the Cottage Food Application.*  

Please upload a copy of the Storm Water Pollution Prevention Facts.*  

Please upload a copy of your CAMTC certificate*  

Please upload a copy of the Firearms Application.*  

Please upload a copy of your Federal Firearms License*  

Please upload a copy of your Seller’s Permit *  

Please upload a copy of your Certificate of Eligibility from the Department of Justice*  

Please upload a copy of the Sidewalk Vending Permit*  

Please upload a copy of the Mobile Car Washing Permit Application-English or Mobile Car Washing Permit Application - Spanish *  

a. Waste Discharge Identification Number (WDID):
b. WDID Application Number:
c. No Exposure Certification Identification Number (NEC):
d. Notice of Nonapplicability Identification Number (NONA):
   

Title
Name*  
Address Residence*
City* State* Zip*
Phone* Social Security #
Driver's License No Date of Birth

Title
Name
Address Residence
City State Zip
Phone Social Security #
Driver's License No Date of Birth

Emergency Contact (Confidential – To be used by Police and Fire)

Emergency Contact Name* Phone*