(Commerce.Gov for a list of codes)
CITY OF HEMET BUSINESS LICENSE APPLICATION
445 E. FLORIDA AVE. • HEMET, CA 92543 • PHONE (951) 765-2358 • FAX (951) 765-2336
www.hemetca.gov
BUSINESS INFORMATION:
BUSINESS NAME HEMET START DATE
BUSINESS ADDRESS MAILING ADDRESS
CITY STATE ZIP CITY STATE ZIP
BUSINESS PHONE FAX NUMBER
BUSINESS DESCRIPTION SELLERS’ PERMIT #
(will appear on license) (if applicable)
SSN OR TAX ID PRODUCTS SOLD
(will NOT be disclosed to any third party) (if applicable)
OWNER OR OFFICER INFORMATION:
TYPE OF OWNERSHIP: SOLE PROPRIETOR CORPORATION LLC PARTNERSHIP OTHER______________
If not listed enter of Type Ownership
PRIMARY OWNER SECONDARY OWNER
HOME ADDRESS HOME ADDRESS
CITY STATE ZIP CITY STATE ZIP
HOME PHONE # HOME PHONE #
EMAIL ADDRESS
EMERGENCY CONTACT NAME PHONE#
BUSINESS TYPE - CHOOSE ONE & FILL IN REQUESTED INFORMATION:
SERVICE OR RETAIL: # OF EMPLOYEES (NOT INCLUDING OWNERS): F/T P/T # OF PARTNERS
CONTRACTOR: STATE LICENSE # CLASSIFICATION EXP DATE
CONTRACTOR: 1 JOB ONLY ONE JOB ONLY SITE ADDRESS
*NO PORTION OF FEE WILL BE APPLIED TO ANY FUTURE LICENSE
Industrial Business: Primary Standard Industrial Classification (SIC) code required per SB205
OTHER:
*SB 1186 Under federal and state law, compliance with disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with
buildings open to the public. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies: The Division of the State
Architect at www.dgs.ca.gov/dsa/Home.aspx, The Department of Rehabilitation at www.rehab.cahwnet.gov , The California Commission on Disability Access at www.ccda.ca.gov.
εεε The acceptance of license fee/s and issuance of this business license does not entitle the license holder to carry on
any business which is otherwise prohibited. Before your business may operate, it may be necessary for you to obtain one or more of the following: a Certificate of Occupancy,
a Home Occupation Permit, a Conditional Use Permit, other City, State or Federal approvals applicable to your business
.
εεε By signing below, I declare under penalty of perjury, that the information in this application is true and correct, that I have read and understand the above.
PRINT NAME SIGNATURE DATE
.
CITY BUSINESS LICENSE #
SSN / TAX I.D. / INITIALED VERIFIED
BY:
HOME OCCUPATION PERMIT
SINGLE FAMILY
APARTMENT MOBILE HOME
I have read and will comply with all
conditions by which a Home Occupation
Permit is allowed. (HMC 90-72)
APPLICANT SIGNATURE
PROPERTY OWNER SIGNATURE
PLANNING SIGNATURE
ZONE
PERMIT #
PAYMENT DETAILS
1163
1164
1167* 3.40
1168* .20
1169* .40
3601
TOTAL
WHITE-BL YELLOW-CUST PINK-CASHIER
