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Elk Grove Business License Application

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									                                                        APPLICATION FOR CITY OF ELK GROVE
                                                            GENERAL BUSINESS LICENSE
                                                                8401 LAGUNA PALMS WAY
                                                                  ELK GROVE, CA 95758
                                                             916-478-2211 www.elkgrovecity.org
                                                                          $13.00


                               TYPE OF OWNERSHIP: ☐ CORPORATION                 ☐ SOLE PROPRIETOR            ☐ PARTNERSHIP          ☐ LLC


Date of Application (MM/DD/YY) _______________________                                              License Start Date (MM/DD/YY) ________________________

Business Name (DBA) _______________________________________________________________________________________________________

Business Location (Cannot be a P.O. Box per State of California Business & Professionals Code-Section 17538.5). Please include a suite number if applicable.

Street Number _______________________ Street Name _______________________ Street Suffix _______

Mailing Address: Attn: _______________________ Street Address or PO Box _________________________________ Zip _______________________

Business Phone ( ___ ) _______________________ Emergency # ( ___ ) _______________________ E-mail __________________________________

Federal Employer ID# (FEIN) (if applicable) ____________________________ State of Employer ID# (SEIN) (if applicable) _____________________________

State Contractor’s License # __________________________ Exp. Date: _____________ Resale Permit # (if applicable) ____________________________

Home Businesses: Will your home be used to conduct all or part of your business?       ☐ YES *    ☐ NO

* If you selected YES for a home based business, you must sign to accept the “Home Occupation Regulations” to proceed.

SIGNATURE _______________________________________________________________________________

TYPE OF BUSINESS __________________________________________________________________________

Describe the activities of your business including products and services. Home based business must describe the activities that occur in the home (e.g. office).
(Please limit description to 35 words or less.)

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________
ECONOMIC DEVELOPMENT INFORMATION (DOES NOT AFFECT FEE)

Average Number of Employees: F/T _______________________ P/T _______________________ Website Address: ______________________________

Amount of space occupied (in sq/ft — If a home based business, you may not exceed 20% of the home square footage)? ________________________________________

Category of Business? ☐ Office ☐ Retail ☐ Industrial ☐ Other                  NAICS Code: ______________________________

                                                                 OWNER(S) INFORMATION

Owner (Last Name, First Name) _____________________________________________________________________________________________

Residential Address___________________________________ City________________________ State________ Zip___________________________

Phone Number ( ___ ) _______________________                  Owner ☐ Officer ☐

Owner (Last Name, First Name) _____________________________________________________________________________________________

Residential Address___________________________________ City________________________ State________ Zip___________________________

Phone Number ( ___ ) _______________________                  Owner ☐ Officer ☐
Will your business conduct or operate, whether singularly or in connection with another type of enterprise,
the following (as defined by the Elk Grove Municipal Code sections 4.10.005, 4.15 - 4.35):                                                                                           YES         NO

Antique dealers in firearms, jewelry, art objects, furniture or other valuables                                                                                                      ☐             ☐
Automobile dismantlers and marketers of used parts for automobiles                                                                                                                   ☐             ☐
Automobile repairs, when the person or firm makes calls at the home or business of the customer to make repairs                                                                      ☐             ☐
Circuses and carnivals, including the maintenance of animals for display to, riding by or petting by children                                                                        ☐             ☐
Sales of concealable firearms, including gunpowder                                                                                                                                   ☐             ☐
Home repair services consisting of services related to the repair or maintenance of single-family residential dwellings, mobile homes, or
gardens by persons who are not licensed to perform such services by the State of California, including businesses offering energy-saving                                             ☐             ☐
appliances, equipment, or services, whether in connection with solar, wind or other power
Purchase or sale of metals, including precious and scrap metals                                                                                                                      ☐             ☐
Auto towing, consisting of persons who engage in the business of towing automobiles which require repair, are abandoned on public
rights-of-way, or are parked illegally                                                                                                                                               ☐             ☐
Repossession or storage of automobiles or any other thing of value                                                                                                                   ☐             ☐
The operator of a booth in a bazaar, flea market, farmer’s market, or other similar type of auction established for the purpose of selling
merchandise, including food, for private gain                                                                                                                                        ☐             ☐
Private security companies                                                                                                                                                           ☐             ☐
Tree trimmers                                                                                                                                                                        ☐             ☐
Motorcycle sales, including the sale of new and used parts                                                                                                                           ☐             ☐
Wrecking yards, including automobile dismantling and the buying and selling of automobiles for scrap metal or parts                                                                  ☐             ☐
Dating and introduction services                                                                                                                                                     ☐             ☐
Swimming pool cleaning services                                                                                                                                                      ☐             ☐
Janitorial, maid, or carpet cleaning services                                                                                                                                        ☐             ☐
Pool halls; one (1) pool table or more is a pool hall                                                                                                                                ☐             ☐
Itinerant food vendors                                                                                                                                                               ☐             ☐
Movie and television productions                                                                                                                                                     ☐             ☐
Dance clubs, halls, and public dances.                                                                                                                                               ☐             ☐
Taxicab business                                                                                                                                                                     ☐             ☐
Cardroom                                                                                                                                                                             ☐             ☐
Bingo games, bingo parlor, bingo supplies                                                                                                                                            ☐             ☐
Pawnbroker, secondhand dealer and junk dealer                                                                                                                                        ☐             ☐
Junk tire storage                                                                                                                                                                    ☐             ☐
Tobacco retailer                                                                                                                                                                     ☐             ☐
Adult-related establishment (including, bathhouse, introductory service, massage service, escort service)                                                                            ☐             ☐
Adult-oriented business (including, an adult arcade, adult bookstore, adult novelty store, adult video store, adult cabaret, adult motel,
adult motion picture theater, adult theater, nude model studio, or sexual encounter center)                                                                                          ☐             ☐
Outdoor festival                                                                                                                                                                     ☐             ☐
If yes to change in use/occupancy, what is the current use/occupancy? _______________________________________________
What was the previous use/occupancy? _____________________________________________________________________
                                                              IMPORTANT - PLEASE READ THE INFORMATION BELOW
   NOTICE: Business licenses issued by the City of Elk Grove (“City”) shall be issued for tracking and publication purposes only. The City will not review business license applications for
   compliance with applicable laws, including, but not limited to, compliance with laws applicable to zoning, building, health and sanitation, public safety, contractors, and business regulation. By
   issuing a business license, the city makes no representation or finding, express or implied, that the business is compliant with applicable laws and regulations, or that the business is otherwise
   authorized to conduct business in the city of elk Grove. Business licensees must comply with all federal, state and local laws, including the Elk Grove Municipal
   Code. Failure to comply with the law may subject the licensee to legal action by the City and/or third parties; receipt of a City issued business license
   shall not serve as an excuse for non-compliance with the law. The possession of either a general business license or special business license shall not be deemed to relieve the
   holder of the requirement to apply for or obtain any other license or permit required by ordinance or statute.


Business licenses are issued subject in part to the information provided by applicants. Any change in the information provided may invalidate the business license.
The general business license is NON TRANSFERABLE to a new owner, new type of business activity or location.

It is the responsibility of all business license applicants to identify and obtain all special permits and approvals required by federal, state or county regulations. It is
also the responsibility of the applicants to comply with all City building and zoning regulations and ordinances. Failure to do so may invalidate your right to do
business in the City and, in addition, may subject you to penalties and legal sanctions.

THE INFORMATION PROVIDED IN THIS APPLICATION IS PUBLIC RECORD.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct; and I consent to this information being provided
to the public.

SIGNATURE _________________________________________________ DATE ____________________________________

								
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