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HomeMy WebLinkAbout3591 Sacramento #50 Permit HistoryqWlqirsp cr o pan lugs opts ) �Y r Building & Safety Division •1919 Palr�trere, -San Luis Ostructiobispe��rml CA 41l-3249 • (805) 781-7180 Project Address 3591 SACRAMENTO 49 Assessor's Parcel Number 053-231-024 Legal Description CY SLO SLO SUB TR PTN LT 92 Project Description DUPLEX DWELLING UNIT # 49 & 50 Permit Type X Building X Mechanical X Electrical X Plumbing Sign Demolition Grading Property Owner CENTEX HOMES A NV GEN PTP Occupant/Business Name Mailing Address 735 TANK FARM RD STE 100 Architect/Engineer City/State/Zip SLO CA, 93401-7906 License # Contractor CENTEX HOMES Contractor's Phone No. 548-0333 Mailing Address 735 TANK FARM RD. #100 Contractor's State Lic. No. 825-943 City/State/Zip SAN LUIS OBISPO CA 93401 Project Manager MARLENE THOMAS Project Manager's Phone No. 548-0172 Lender Name Lender Address C.B.C. Group R-3 U-1 U.B.C. TypeV-N Census number 103 Duplex dwelling unit Garage or Carport Duplex Dwelling Unit Deck, Canopy, or Trellis Fees Building Permit 2,562.85 Plumbing Permit 341.63 Mechanical Permit 341.63 Electrical Permit 341.63 Grading Permit 0.00 S.M.I.P. 32.36 Energy Surcharge 358.77 Accessibility Surcharge 0.00 Demolition Permit 0.00 Sign Permit 0.00 Misc Charge/Credit 0.00 Administrative Permit 0.00 Archival Fee 0.00 Subtotal 3,978.87 Investigation Fees 0.00 Building Plan Review Fee 1,596.55 Fire Safety Plan Review 279.40 Plan Review Subtotal 1,875.95 Development Review Fee 2,078.65 Fire Safety Surcharge 627.85 Construction Unit Tax/Plan Preparation 0.00 Water Impact 23,084.00 Area - 23,084.00 Water Meter Installation 318.00 Wastewater Impact 3,948.00 Area - 3,948.00 Traffic Impact 2,784.00 Area - 2,784.00 Affordable Housing 6,472.40 Public Art 0.00 Code Enforcement 0.00 Park Improvement Area - 0.00 Waterway Management Fee 362.90 Total Fees 45,530.62 Balance Due payments 0.00 Amount Date Receipt Payment #1 45,530.62 06/21/06 27296 Total Paid 45,530.62 Application Number060536 Permit Number 21194 Application Date 06/15/06 Issuance Date 06/29/06 Address File Fire Sprinklers Stories 2 Codes: CBC01 CEC 01 Dwelling Units Valuation Motel Rooms 0 922 Sq Ft @ $26.90 Fire Sprinklers $24,802.00 3,439 Sq Ft @ $85.95 with A/C Fire Sprinklers $295,582.00 195 Sq Ft @ $16.60 $3,237.00 Total Building Value $323,621.00 Legal Declarations 1. OWNER BUILDING DECLARATION: I am exempt from the contractor's License Law for the following reason: 1, as owner of the property, or my employees with wages as their sole compensation will do the work and the structure is not intended or offered for sale. 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. Not applicable. 2. WORKER'S COMPENSATION DECLARATION: I hereby affirm that I have a certificate of consent to self -insure, or a 'certificate of Workers' Compensation insurance, or a certified copy hereof Certified copy is hereby furnished. Certified copy is filed with the City. Not applicable 3. CERTIFICATE OF EXEMPTION FROM WORKERS COMP. INSURANCE I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Worker's Compensation Laws of California ❑ Not applicable NOTICE TO APPLICANT: If, after making any of the foregoing declarations, you become subject to any Labor Code or License Law provision, you must comply with such provisions or this permit shall be deemed revoked. I certify that I have read this application and state that the above information is correct, I agree to comply with all city ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. Unless noted under "Special Conditions", this permit becomes null and void if work or construction authorized is not started within 180 days, or if construction or work is suspended or abandoned for a period of 180 days any time after work is commenced. Special Conditions. Comments: PLAN REVIEW FEE REDUCED BY 50% FOR DUPLICATE PLAN PER CITY COUNCIL RESOLUTION #8044 (1992 SERIES). 1IIIIIIIIIII����IIIIIII1 '-,y of Sam L.,.is oBi S MNdI!IHI!HPdIIII,--Hi Community Development Department, 990 Palm Street, San Luis Obispo, CA 93401-3249 (805) 781-7171 NEW TRACT ADDRESSING / NEW STREET NAME(S) ❑ Create New Street Names: d New Address Numbers:._5q \ 9C(C' Y CLM e \1 O Ili 1 U e—I M u ❑ Base Address: Assessor's Parcel Numberls): Other Address(es) on this Parcel: Reason for Application: T� 1 Y _P_C'L U = C L N bYY11 Y-\1_UILY_l Applicant: Phone: �7 � � -- 13 5Q Applicant's Address: l Property Owner: Phone: Owner's Address: iwner/Agent signature and Authorization Date ' Sketch Addreeainp Ran Blow or Attach Copy !' 'r F ._.. ..._ _....e.. ....j _}.. ... ... ... _ r ._ ......................... . €.... y...,,....... �.... ... I .. a.......... ..a,»,. G {{® I .. ._.... .. .[. ........... ... ......... _ E .. _ i ... _ ...........- �... I i -.. .. �.........,E-..... I i E I �... ...i.... ....._ .. ... ...� r ...... ...i ..... ......... .. �� I - . 3 .. _ ... �� .. _ I - -................._ ... ] .. ... ................... T.... l .. .. .. .« .. - ...:. .... ..�... .. ....... .. .. .. ".. -}l .COY .. .. .. .. .........r.... 1 � Y 1 .. ... .. \A) Ut 1..............L .. .., -a ....... ` . . .. . C ... ..:... .. y . ... ... ... .. .. E_....., . lit) lrU. o ., t° . YY.� 1'..._....c.Q.x Y1 �..1�...!^►%1 ....i �. ...... ._.......__...._ ............. 1 ... ... .. ................... .. .. .. ... .. .. ...A......... -• --- .. ... ... E 'P P P _ .... Project Planner: Comments/Special Notification: 21-96 3� 'L g 3£ 10 0 1! Q u� cn Y) cv 'S,ro,Q �r_6 C( "r v v BROADS- _| �§- �� - Z % ■ =3 (D Q uj « m#_�_ cite of san tuts oi3isr ' I i.ALhome occupation ■ eRmit Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-717ib Please print clearly or type. Return this completed form with your $ application fee. This form will be your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate. NOTE: Private property regulations such as deed restrictions or Conditions Covenants and Restrictions (CC&R's) of homeowners' associations may restrict or prohibit home occupations even if such use is allowed by City Regulations. Applicants are encouraged to determine compliance with any applicable private regulations before applying for City approval � � Business Applicant: f'rlrcH.w c �//E� Name. I-IP,:5 _iNe Phone Scas-.S'ace .2707 Address: SS-71 S;ge g y"e" 7n DIg � c> `)3 yo � Zone: 6-PP Do you own the home: ® Yes © No (if you do not own the home, the ownsgr must sign this form consenting to your home o��cc}pation.) This residence is: a Mobile Home ❑ yes Vno a Condominium V'yes ❑ no in a Homeowners Association'1e7'yes ❑ no Accurately describea7E E-a L_ e~sW T2'' oF/ cE your home business: 5 r-olzg 6 E r Will customers visit the home? ❑ yes V�no (See Requirement #2 below) A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required. Requirements for Approval 1. Home occupat'nns shall not involve customer access or have other characteristics which would reduce residents' enjoyment of their neighborhoods. The peace and quiet of residential areas shall be maintained. 2. There shall be no customers or clients except for: ❑ Private instruction, such as education tutoring, music, or art, on an individual basis, provided there are not more than six (6) students in any one day. ❑ Physical therapists, including massage, or other therapists, who shall have no more than one client on site at any time and no more than six (6) clients in any one day. ❑ Attorneys, accountants and other low visitation consultants. Businesses with customer access shall maintain at least one (1) on -site customer parking space in addition to their required residential parking. Parking in a driveway that has a minimum depth of 20 feet from the back of sidewalk and is made available to customers during business hours of operation shall meet the definition of a parking space. 3. Activities shall be conducted entirely within the dwelling unit or an enclosed accessory building, and shall not alter the appearance of such structures. (Horticultural activities may be conducted outdoors.) 4. There shall be no sales; rental or display on the premises (internet and phone sales okay). 5. There shall be no signs other than address and names of residents. 6. There shall be no advertising of the home occupation by street address except that street address may be included on business cards and business correspondence originating from the home. APPLICANT: I understand that, if a permit is issued, I must meet the requirements listed above. If the requirements are not met, the permit will be void and the home occupation must cease immediately. nt's signature Date Received by, L Permit Approved by Comments: 4)( { 2_ 0 7. No vehicle larger than a van or three -quarter -ton truck may be used in connection with a home occupation. A marked commercial vehicle used in conjunction with the occupation shall have no more than two (2) square feet of advertising. Licensed vehicles and trailers used in connection with a home occupafion are limited to one (1) additional vehicle and/or trailer. 8. The home occupation shall not encroach on any required parking, yard, or open space area. 9. Parking for vehicles used in connection with the home occupation shall be provided in addition to parking required for the residence. 10. Activities conducted and equipment or materials used shall not change the fire safety or occupancy classifications of the premises, nor use utilities in amounts greater than normally provided for residential use. 11. No use shall create or cause noise, dust, vibration, smell, smoke, glare, or electrical interference, or other hazard or nuisance. 12. No employees other than residents of the dwqlling shall be allowed to work on -site. (Babysitters or domestic servants are not considered employees of a home occupation.) 13. Clients or customers shall not visit the home occupation between the hours of 7:00 p.m. and 7:00 a.m. 14. If the home occupation is to be conducted from rental property, the property owner's authorization for the proposed use shall be obtained. 15. No delivery or commercial pick-up shall be by vehicles larger than a typical delivery van (Fed Ex, UPS, etc.). Direct customer pick-up is prohibited. OWNER*: As owner of the property, I give the applicant permission to conduct business there, subject to the above conditions. /�.�I.PEL f✓ //E PRINT owner's name Cfwner's Signature * A property manager of an apartment complex or the park manager of a mobile home park may sign in place of the property owner. Date Date ;--20 '0e White: Address File (after approved) Yellow: Applicant (after approved) Pink: Finance (after approved) (Revised 2-1-07) City of r 0— For Office Use Only ----- ■ Still lUl S - 0B1 SPO DATE/AMOUNT: -CLASS/GROUP/CAT: BUSINESS NO: BUSINESS LICENSE & TAX CERTIFICATE APPLICATION 990 Palm Street / P.O. Box 8112 - San Luis Obispo, CA 93403-8112 — (805) 781-7134 Application for: eNew Business ❑ Change of Business Name ❑ Change of Location ❑ Change of Ownership Business Name "/C'%� E-,y4 r �,� -• Phone S'c:,5 ti' •-: Jc Legal Status of Business: Corporation ❑ Partnership ❑ Sole Proprietor Business Location !:-7/ Suite No.. -G City <�i/ 1 ..; sac, State r Fs Zip `]s /e f PO Box addresses cannot be accepted as business locations - If your business is located in San Luis Obispo, please complete the last page of this application. Mailing Address 29Y Nej ' Suite No. City � ,J Zzlis State t!a Zip f</o J Owner/Contact Name AII /!F ":'1hFSE�[��"isl!tc�t';�aFrwu�ns:�r�.r-rnwa•.�.r.n.....�..��.-,_-._.,.-...,.-.._._ _.__ .. State Sales Tax No. State Franchise No. / 7 ;% / ✓ Business Open DateC' r Type of Business: r' ❑ Retail EJ Professional ❑ Service ❑ Contractor (State Licensed) Lic. No. ❑ Manufacturing/Processing/Wholesale ❑ Recreation/Education/Public Assembly ❑ Agriculture ❑ Transportation/Communication ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) ❑ Other Describe your business. Include the types of goods or services offered. Are you selling or offering the following services or products?: ❑ Tobacco ❑ Massage Therapy ❑ Filming ❑ Sales on Streets & Sidewalks ❑ liclRing ; ':: Are you doing business from your home? Ca'Yes ❑ No Applicant / Representative: I reviewed this application and the information is accurate to the best of my knowledge. I understand the issuance of a business license & tax certificate does not constitute proof of compliance with other city, county, state, and federal regulations. Signed Z �� — i)ate 2 ePrinted on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020-6313 �� city �f san Luis osispc i home occupation permit Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-7170 Please print dearly or type. Return this completed form with your $ application fee. This form will be your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate. NOTE: Private property regulations such as deed restrictions or Conditions Covenants and Restrictions (CC&R's) of homeowners' associations may restrict or prohibit home occupations even if such use is allowed by City Regulations. Applicants are encouraged to determine compliance with any applicable private regulations before applying for City approval Business Applicant: j,/I,�Np,�L /cap � _ Name: 6± yn�\,&Phone ZnS- soa-37U7 5°f � Address: _9 , t Sc-r_t`oame -%p # Zone: Do you own the home: VYes ❑ No (If you do not own the home, the owner must sign this form consenting to your home occupation.) This residence is: a Mobile Home ❑ yes ❑ no a Condominium t"yes ❑ no in a Homeowners Association ❑ yes ❑ no Accurately describe Palm n T Cis Mj c rN!- pr) v F,,1IE' ti fz'N F4w_VtC—n"i G ►o � p a _, your home business: cC— Will customers visit the home? ❑ yes Vno (See Requirement #2 below) A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required. Requirements for Approval 1. Home occupations shall not involve customer access or have other characteristics which would reduce residents' enjoyment of their neighborhoods. The peace and quiet of residential areas shall be maintained. 2. There shall be no customers or clients except for: ❑ Private instruction, such as education tutoring, music, or art, on an individual basis, provided there are not more than six (6) students in any one day. ❑ Physical therapists, including massage, or other therapists, who shall have no more than one client on site at any time and no more than six (6) clients in any one day. ❑ Attorneys, accountants and other low visitation consultants. Businesses with customer access shall maintain at least one (1) on -site customer parking space in addition to their required residential parking. Parking in a driveway that has a minimum depth of 20 feet from the back of sidewalk and is made available to customers during business hours of operation shall meet the definition of a parking space. 3. Activities shall be conducted entirely within the dwelling unit or an enclosed accessory building, and shall not alter the appearance of such structures. (Horticultural activities may be conducted outdoors.) 4. There shall be no sales, rental or display on the premises (intemet and phone sales okay). 5. There shall be no signs other than address and names of residents. 6. There shall be no advertising of the home occupation by street address except that street address may be included on business cards and business correspondence originating from the home. APPLICANT: I understand that, if a permit is issued, I must meet the requirements listed above. If the requirements are not met, the permit will be void and the home occupation must cease immediately. A €l_ licant's signature Date 7. No vehicle larger than a van or three -quarter -ton truck may be used in connection with a home occupation. A marked commercial vehicle used in conjunction with the occupation shall have no more than two (2) square feet of advertising. Licensed vehicles and trailers used in connection with a home occupation are limited to one (1) additional vehicle and/or trailer. 8. The home occupation shall not encroach on any required parking, yard, or open space area. 9. Parking for vehicles used in connection with the home occupation shall be provided in addition to parking required for the residence. 10. Activities conducted and equipment or materials used shall not change the fire safety or occupancy classifications of the premises, nor use utilities in amounts greater than normally provided for residential use. 11. No use shall create or cause noise, dust, vibration, smell, smoke, glare, or electrical interference, or other hazard or nuisance. 12. No employees other than residents of the dwqlling shall be allowed to work on -site. (Babysitters or domestic servants are not considered employees of a home occupation.) 13. Clients or customers shall not visit the home occupation between the hours of 7:00 p.m. and 7:00 a.m. 14. If the home occupation is to be conducted from rental property, the property owner's authorization for the proposed use shall be obtained. 15. No delivery or commercial pick-up shall be by vehicles larger than a typical delivery van (Fed Ex, UPS, etc.). Direct customer pick-up is prohibited. OWNER': As owner of the property, I give the applicant permission to conduct business there, subject to the above conditions. PRINT owner's name 's Signature * A property manager of an apartment complex or the park manager of a mobile home park may sign in place of the property owner. Received by L.S. 4 ,t _ Date l -Zq'00 Permit Approved by Date Comments: 0 US F� (�- Z y_ D White: Address File (after approved) Yellow. Applicant (after approved) Pink: Finance (after approved) (Revised 2-1-07) city san or Luis o13is�po Io- [,or Office Use Only -- --- -tJAMOUNT: CLASS/GROUP/CAT: BUSINESS NO: BUSINESS LICENSE & TAX CERTIFICATE APPLICATION 990 Palm Street / P.O. Box 8112 - San Luis Obispo, CA 93403-8112 — (805) 781-7134 Application for: L New Business ❑ Change of Business Name ❑ Change of Location ❑ Change of Ownership Business Name 1 t"o - ce. Cr t1 C c� �� 1_ y _� F Phone 'o ; - � 1 Legal Status of Business: ❑ Corporation ❑ Partnership ❑ Sole Proprietor 35�11 �r,c•r:.:,.Y�'�r,v}'jam i>f �� �r.s� �-.i,`a ti��� ��� Business Location �+=� Suite No. '-a `ram City State r- P, Zip �' �1 ❑ 1 PO Box addresses cannot be accepted as business locations — If your business is located in San Luis Obispo, please complete the 1 Ire of this application. Mailing Address 619 `1e2 7 Q, e-c, f-, y., 5 r _ Suite No l VC? City Sr y-% 1,u � s obi--, 02 State c: 3 Zip Owner/Contact Name State Sales Tax No. State Franchise No. 2 ()C ) 1 G 2 2_ 2, Business Open Date 1 Tyne of Business: ❑ Retail M Professional ❑ Manufacturing/Processing/Wholesale ❑ Transportation/Communication ❑ Other ❑ Service ❑ Contractor (State Licensed) Lie. No. ❑ Recreation/Education/Public Assembly ❑ Agriculture ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) Describe your business. Include the types of goods or services offered. Are you selling or offering the following services or products?: iL ❑ Tobacco ❑ Massage Therapy ❑ Filming ❑ Sales on Streets & Sidewalks ❑ Soliciting Are you doing business from your home? 4es VAO . r. Applicant / Representative: I reviewed this application and the information is accurate to the best of my knowledge. I understand the issuance of a business license & tax c@rtificate does not constitute proof of compliance with other city, county, state, and federal regulations. i Signed = , Title k . , —rrJ . Date %,VPrinted on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020-6313 city )f san tins osisp `+ home occupation pERmit Community Development Department — 919 Palm Street, San Luis Obispo, CA 93401-3218 (805) 781-7171 i Please print clearly or type. Return this completed form with your $ J� application fee. This form will be your permit when approved. In some cases, you may have to comply with additional conditions. Also, be sure to get a business tax certificate. NOTE: Private property regulations such as deed restrictions or Conditions Covenants and Restrictions (CC&R's) of homeowners' associations may restrict or prohibit home occupations even if such use is allowed by City Regulations. Applicants are encouraged to determine compliance with any applicable private regulations before applying for City approval Business Applicant: >S/1.�� I/t .. Name: CD12 >E Hn,y,9?.za Z: drzn Phone- y-37D7 Address: s930a / Zone: Do you own the home: NYes ❑ No (If you do pat own the home, the owner must sign this form consenting to your home pation.) This residence is: a Mobile Home ❑ yes ULto. a Condominium W yes ❑ no in a Homeowners Association Vyes ❑ no Accurately describe Ar2F A �nr-i v.9 r,F HA ;1 AQA-7MPn r c1JZJ4IF h/A G FF72 r�nCu l�>n� o your home business: ADv/cP Rp�ommPni� Sn/r� : inn c '� sN�l) s✓ r/PniUm S"i�D l�UsinrscHs. Will customers visit the home? ❑ yes V o (See Requirement #2 below) A more detailed description of your home occupation and a site plan may be required later. In some cases, a hearing may be required. Requirements for Approval 1. Home occupations shall not involve customer access or have other characteristics which would reduce residents' enjoyment of their neighborhoods. The peace and quiet of residential areas shall be maintained. 2. There shall be no customers or clients except for: ❑ Private instruction, such as education tutoring, music, or art, on an individual basis, provided there are not more than six (6) students in any one day. ❑ Physical therapists, including massage, or other therapists, who shall have no more than one client on site at any time and no more than six (6) clients in any one day. ❑ Attorneys, accountants and other low visitation consultants. Businesses with customer access shall maintain at least one (1) on -site customer parking space in addition to their required residential parking. Parking in a driveway that has a minimum depth of 20 feet from the back of sidewalk and is made available to customers during business hours of operation shall meet the definition of a parking space. 3. Activities shall be conducted entirely within the dwelling unit or an enclosed accessory building, and shall not alter the appearance of such structures. (Horticultural activities may be conducted outdoors.) 4. There shall be no sales, rental or display on the premises (intemet and phone sales okay). 5. There shall be no signs other than address and names of residents. 6. There shall be no advertising of the home occupation by street address except that street address may be included on business cards and business correspondence originating from the home. APPLICANT: I understand that, if a permit is issued, I must meet the requirements listed above. If the requirements are not met, the permit will be void and the home occupation must cease immediately. 11 G cant's signature Date Received by L Permit Approved Comments: 7. No vehicle larger than a van or three -quarter -ton truck may be used in connection with a home occupation. A marked commercial vehicle used in conjunction with the occupation shall have no more than two (2) square feet of advertising. Licensed vehicles and trailers used in connection with a home occupation are limited to one (1) additional vehicle and/or trailer. 8. The home occupation shall not encroach on any required parking, yard, or open space area. 9. Parking for vehicles used in connection with the home occupation shall be provided in addition to parking required for the residence. 10. Activities conducted and equipment or materials used shall not change the fire safety or occupancy classifications of the premises, nor use utilities in amounts greater than normally provided for residential use. 11. No use shall create or cause noise, dust, vibration, smell, smoke, glare, or electrical interference, or other hazard or nuisance. 12. No employees other than residents of the dwqlling shall be allowed to work on -site. (Babysitters or domestic servants are not considered employees of a home occupation.) 13. Clients or customers shall not visit the home occupation between the hours of 7:00 p.m. and 7:00 a.m. 14. If the home occupation is to be conducted from rental property, the property owner's authorization for the proposed use shall be obtained. 15. No delivery or commercial pick-up shall be by vehicles larger than a typical delivery van (Fed Ex, UPS, etc.). Direct customer pick-up is prohibited. OWNER*: As owner of the property, I give the applicant permission to conduct business there, subject to the above conditions. *-lie,VA.E7 n/ 1 , PRINI�T oo niar's na�i�ia Vner's Signature * A property manager of an apartment complex or the park manager of a mobile home park may sign in place of the property owner. Date A01V Date . - "I White: Address File (after approved) Yellow. Applicant (after approved) Pink: Finance (after approved) (Revised 2-1-07) - > { For Office Use Only L/AMOUNT: CLASS/GROUP/CAT: BUSINESS NO: BUSINI.SS I.,ICENSE & TAX CERTIFICATE APPLICATION 990 Palm Street / P.O. Box 8112 - San Luis Obispo, CA 93403-8112 — (805) 781-7134 Application for: N(New Business ❑ Change of Business Name ❑ Change of Location ❑ Change of Ownership Business NamePhone����:.�,'-2.r� Legal Status of Business: ❑ Corporation O'Partnership ❑ Sole Proprietor Business Location _36 J _cif ar, ia��,;r i' /i� y-C= Suite No. . s j City -5;s-)pv 1 v7s l J_% ; 7o State !f? Zip ' c? PO Box addresses cannot be accepted as business locations -If your business is located in San Luis Obispo, please complete the last page of this application. Mailing Address �, ; •r �r7r=r7 rrs J�,� , , Suite No. c: City �'.�; 1,vis v o. r. . e> State � i Zip ] Vo./ Owner/Contact Name i✓.%r:-f:r�._ / �"tl,��t_F State Sales Tax No. State Franchise No. 2, '? r % �' �•= ! �� Business Open Date 2�z L;F/o Tvae of Business: ❑ Retail Lg Professional ❑ Service ❑ Contractor (State Licensed) Lic. No. ❑ Manufacturing/Processing/Wholesale ❑ Recreation/Education/Public Assembly ❑ Agriculture ❑ Transportation/Communication ❑ Property Rental (Residential) ❑ Property Rental (Non -Residential) ❑ Other Describe your business. Include the types of goods or services offered. fi/;c f.3 ! VAT"F eloD5 3 % .`,v 4 f�ia ✓%i��C� f tl f?rti+G !rf«/r�r D eA IL> > Ic fJS 1 Are you selling or offering the following services or products?: ❑ Tobacco ❑ Massage Therapy ❑ Filming_.._.-. C Sales on Streets & Sidewalks ❑ Soliciting Are you doing business from your home? r Yes ❑ No Applicant / Representative: I reviewed this application and the information is accurate to the best of my knowledge. I understand the issuance of a business license & tax certificate does not constitute proof of compliance with other city, county, state, and federal regulations. Signed l F�;� Title �' Date G WPrinted on recycled paper. ORIGINAL - Finance WHITE - Planning CANARY - Utilities PINK - Customer 2020-6313