HomeMy WebLinkAbout810 Orcutt, � City or
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BUSINESS LICENSE & TAX CERTIFICATE APPLICATION
990 Palm S1rcct I P.O. Oox 8112-Sttn l.uis Obispo. CA 93-rnJ-8112 (805) 781-7134
Application for: eiNcw Business D Change of Business Name O Change of Lotation D Change of Ownership
lt11s i11css Nan1e _�\\�.,�·i��,q'.)�'��4._L�---�J�J �\4;�. �l,.._c_,L���(L'�,�,�������·�1 �· ·�r�; _____________ Phonc��-L�· -��-·�J ��--·-: ��-�--.) ) f:mail !rd [ 1'.· \�..{), 1,,) -lu Ir ,1
Lt�gal Stal us of Business; L .I Corporation n Partnership rg/Solc Proprietor , , \(., ,. , ,, ,
Business Lorntio11 _0.,.._, .;;_-\ ..... ( ..... 'i __,L ... ·· .... ,-"'w""\�j .... \...._i?.li-: :...,C,_;i ____ Suitc No. ___ C ity Sao l'I I Un� uc.hlressc, e:11111111 b..: �,:,cptcd iis hu�i11i:s, l111.:a1i,11is If �our business is loratc<l in San Luis ()hi�po, 11k.i�,· rnmf)h'll' lhe lasl pa�,· of lhi� :ipplitllli on.
MailingAdtlrcss_.._f_,C __ \---'-'.,""'"1._,._i __ _._l_l.\..._\..._....\ .... \ .... c ___ SuitcNo. ___ City _�i.·, l1..\\� CI 1•,, • .__ Stare_{L Zip ·i �<}( G
( N .)c\'S.\lc, b,1.:-i\.,l'"'s; )wncr/Contacl amc ------------------------------------------- FC'dcral Employer/Social Security No. . State Sales Tt1;\ No. _......1.1....!.--'------------
State Franchise No. ---1-:...i-�------------O c:1 I �--i:i Busi ness pen l>a le __ ..-,,-c..i· ---'--'1--'L-==-·-�....._ _________ _
T, pc of Husincss:
D Retail D Professional
I I Ma 1111fal'lllring/Proccssing/Whoks.1lc
r I Transportation/Comm unil'ation
O Contractor (State Licensed) Lie No. _____ _
D Rec rea I ion/Education/Public Assem hi ) D A�ricullun.·
D Property Rental (Residential) D Property Rrntlll (Non-Residential)
l 1 Other -------------
Descrihc your l.111sincss. Include the types of goods or services offered.
A re you selling or offering the following services or products?:
D Tobacco O Massage Thcrnpy
Arc you doing business from your home·!
D Filming
rives
O Sales on Streets & Sidewalks D Soliciting
D No
I ., � - -l'i \.,. Y\ \ _.
, Applicant I Representative: I reviewed this application and the information is accurate to the best of my knowledge. I understand
I the issuance of a business license & tax certificate docs not constitute proof of com pliaoce with other city, county, state, and federal ,·egulaUo"'· '} � I Signed t / -� 44c1::1 ..----Title ft&n ck,v -r C'f D Date R / 'U.I / 071'/