Arroyo Grande License Application Form – Fill Out and Use This PDF

	CITY OF ARROYO GRANDE
	BUSINESS LICENSE APPLICATION
(805) 473-5436	Remit to: 300 E Branch St
300 East Branch St	Arroyo Grande, CA. 93420

The purpose of this form is to provide the City with the information necessary to determine whether the proposed Business License complies with all applicable ordinances and policies of the City of Arroyo Grande. Providing accurate and complete information will assure prompt processing of your application.

Business licenses are not transferable between owners or locations. Occupant load over 50 must have fire clearance prior to operation. Food related operations must show a County Health Department approval prior to issuance of a business license.

Issuance of a Business Tax Certificate is evidence only of the fact that such tax has been paid. Submitting an application does not constitute zoning or any other approval of the proposed use nor does it sanction or permit the operation of your business.

All (*) items are public information.

*NAME OF BUSINESS		*BUSINESS TELEPHONE NUMBER
		(	)
*BUSINESS ADDRESS (Street, City, State, Zip)		HOME TELEPHONE NUMBER
		(	)
MAILING ADDRESS (Street, City, State, Zip)		FEDERAL/STATE ID#
*NAME OF OWNER		STATE CONTRACTORS #
HOME ADDRESS OF BUSINESS OWNER (Street, City, State, Zip)		RESALE #
SECOND OWNERS NAME		SOCIAL SECURITY #
*TYPE OF BUSINESS	SIC #	DRIVERS LIC.#

OWNERS TYPE: (CIRCLE)	SOLE PROPRIETORSHIP		PARTNERSHIP	CORPORATION
SQ. FT. OF BUSINESS	OCCUPANT LOAD	AUTOMATIC FIRE SPRINKLERS			ASSESSOR PARCEL #
		YES_________ NO___________
SQ. FT. OF LOT	PARKING SPACES	EXISTING SIGNS			ZONING DESIGNATION
		YES_________NO__________

I HEREBY CERTIFY THAT I AM THE OWNER OR AUTHORIZED REPRESENTATIVE FOR THE ABOVE FIRM AND DECLARE UNDER PENALTY OF MAKING FALSE CERTIFICATE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF AND UNDERSTAND THAT THE INFORMATION PROVIDED IS SUBJECT TO VERIFICATION.

YOU MAY BE REQUIRED TO GET APPROVAL FROM THE FOLLOWING AGENCIES:

For the protection of the public, various types of business operations are regulated by various governmental agencies. Your business may or may not be so regulated. It is your responsibility as the business owner or operator to comply with all regulations of these agencies, which may include the following:

City of Arroyo Grande	County of San Luis Obispo
Community Development
Building & Safety	Health Department
Fire Department
Police Department

Additionally, sales or use tax may apply to your business activities. You may seek written advice regarding the application of tax to your particular business by writing the nearest State Board of Equalization office.

FINANCE (WHITE), APPLICANT (YELLOW), COMMUNITY DEVELOPMENT (GOLD), BUILDING/FIRE (PINK)

FIN-REV2006-03