CITY OF TURLOCK BUSINESS LICENSE APPLICATION 156 S by bmn61808

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									                              CITY OF TURLOCK BUSINESS LICENSE APPLICATION
                              156 S BROADWAY SUITE 114, TURLOCK CA 95380-5454
                              209-668-5570 FAX 209-668-5565 TDD 1-800-735-2929
                                                                                           NEW _____    CHANGE _____       EXEMPT _____

*PLEASE PRINT OR TYPE THE FOLLOWING INFORMATION:

BUSINESS NAME (advertised dba)

OTHER BUSINESS NAME OR BUSINESS NAME CONTINUATION

BUSINESS LOCATION                                                           SUITE NUMBER

CITY, STATE, ZIP

ADDITIONAL LOCATIONS IN TURLOCK:


BUSINESS PHONE NUMBER (__________)__________________________                  FAX NUMBER _(_________)___________________________

CELL PHONE NUMBER (__________)______________________________                 E-MAIL ADDRESS ____________________________________


MAILING ADDRESS (if different from above)                                   SUITE NUMBER

CITY, STATE, ZIP

START DATE IN TURLOCK ____________NATURE OF BUSINESS _______________________________________________________________

OWNER'S STATUS:         INDIVIDUAL ____ PARTNERSHIP ____ CORPORATION ____ FEDERAL TAX ID NO. _______________________

SELLER'S PERMIT ___________________ CONTRACTOR'S STATE LICENSE NO _______________________________ CLASS __________

BUSINESSES WITH INDEPENDENT AGENTS, OPERATORS OR PRACTITIONERS, PLEASE COMPLETE THE FOLLOWING:
1. Beauty Salon/Barber Shop - Number of independent operators for whom you will report gross receipts __________.
          Provide list of independent operators for whom you will not be reporting gross receipts.
                                                                                     will
2. Professional Offices - Number of individual practitioners in your firm for whom you report gross receipts _______.
          Provide list of individual practitioners for whom you will not be reporting gross receipts.

BUSINESSES WITH VENDING OR AMUSEMENT MACHINES, PLEASE COMPLETE THE FOLLOWING:
1. Number of vending machines _______ (Provide list of locations & name of owner(s) of machines)
2. Number of video games or amusement devices ______ (Provide list of locations & name of owner(s) of machines)

If your Business is incorporated please provide us with your Articles of Incorporation or provide the information below for two
of the corporate officers. All unincorporated Businesses, please provide us with the owner information below.

                            OWNER 1                                                      OWNER 2

OWNER'S NAME       ________________________________________________          ____________________________________________________
                    FIRST               MI     LAST                              FIRST                     MI       LAST



HOME ADDRESS ________________________________________________                ____________________________________________________


CITY,STATE,ZIP     ________________________________________________          ____________________________________________________


HOME PHONE         ________________________________________________          ____________________________________________________


DATE OF BIRTH      ________________________________________________          ____________________________________________________


SOCIAL SECURITY NO ____________________________________________              ____________________________________________________


DRIVERS LICENSE NO ____________________________________________              ____________________________________________________


PERSON TO CONTACT IN CASE OF EMERGENCY __________________________________                     PHONE # ______________________________

I have read and understand the provisions of Turlock Municipal Code section 3-1-103 shown below, and I will obtain all necessary
information and approvals from the appropriate City offices and employees regarding proposed business activity.

          TMC 3-1-103 NO EXEMPTION FROM OTHER CODE PROVISIONS
          Persons required to pay a license tax for transacting and carrying on any business under this chapter shall not be relieved
          from the payment of any fee or tax for the privilege of carrying on any similar or related activity required under any other
          provision of this code.
          Where approval, clearance, or a permit to conduct a business is otherwise required by the provisions of this code,
          issuance of a license does not constitute such approval or clearance. ( i.e. building occupancy, zoning clearance
          from Community Development Services.)

I declare that the above statements are true under the penalty of perjury of the laws of the State of California.
Should any of the above information change after this date, I will notify the City of Turlock of such changes.


DATE                SIGNATURE                                        PRINT NAME                        POSITION WITH COMPANY

								
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