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Get City Of Hughson Business License Form

BUSINESS LICENSE APPLICATION CITY OF HUGHSON 7018 Pine St. P. O. Box 9 Hughson CA 95326 Phone 209 883-4054 Fax 209 883-2638 Please Print Business Phone Business Name Business Location City/State/Zip Mailing Address Business Owner Home Phone Home Address Social Security Emergency Phone not needed if a Corporation Application is for Sole Proprietorship Partnership Corporation - If Corporation list officers below Name Address Phone Check type of business retail service wholesale construction manufacturing non-profit food service Fully describe business activity Will you be using or storing Flammable or Hazardous Material Yes / No State Board of Equalization - Resale include letters Federal Employer ID State Employer Contractor License Class Type Name of Property Owner if other than business owner Is Business located with in your home In our City Limits Yes / No If yes attach Home Occupational Permit Application Additional Fee If your business name does not include your last name attach a copy of your Fictitious Name Statement or your Corporation Documents I have read and understand the provisions of the City of Hughson s Municipal Code Section 5. 04. 010 - 5. 04. 200. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. X Date X Applicant s Legal Signature FOR OFFICIAL USE ONLY Sent to Planning/Bld Planning/Building Dept Approved Home Occupational Permit Other Permits Required No Yes copy attached if yes what Faxed to Fire Dept Fire Dept. Approved Public Works Approved Police Dept Approved County Health Dept County Health Cert. Attached Sent to PW Sent to Police Dept Finance Department Date Received Date Fees Paid Ck Date Entered Bus Lic Fee Paid Acct assigned Home Occ Fee Paid Bus. 04. 010 - 5. 04. 200. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. X Date X Applicant s Legal Signature FOR OFFICIAL USE ONLY Sent to Planning/Bld Planning/Building Dept Approved Home Occupational Permit Other Permits Required No Yes copy attached if yes what Faxed to Fire Dept Fire Dept. X Date X Applicant s Legal Signature FOR OFFICIAL USE ONLY Sent to Planning/Bld Planning/Building Dept Approved Home Occupational Permit Other Permits Required No Yes copy attached if yes what Faxed to Fire Dept Fire Dept. Approved Public Works Approved Police Dept Approved County Health Dept County Health Cert. Attached Sent to PW Sent to Police Dept Finance Department Date Received Date Fees Paid Ck Date Entered Bus Lic Fee Paid Acct assigned Home Occ Fee Paid Bus. 04. 010 - 5. 04. 200. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. X Date X Applicant s Legal Signature FOR OFFICIAL USE ONLY Sent to Planning/Bld Planning/Building Dept Approved Home Occupational Permit Other Permits Required No Yes copy attached if yes what Faxed to Fire Dept Fire Dept. Approved Public Works Approved Police Dept Approved County Health Dept County Health Cert. Attached Sent to PW Sent to Police Dept Finance Department Date Received Date Fees Paid Ck Date Entered Bus Lic Fee Paid Acct assigned Home Occ Fee Paid Bus.

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