BUSINESS LICENSE APPLICATION
CITY OF YORBA LINDA
Finance Department • 4845 Casa Loma Avenue • Yorba Linda, CA 92886
Phone: (714) 961-7145 • Fax: (714) 985-9407 • www.yorbalindaca.gov
• OFFICIAL USE ONLY •
BUSINESS LICENSE NO.
EXPIRE DATE
Business Name /
DBA
Mailing Address
(If Different)
Description of
Business:
Ownership
State Lic. No.
Resale No.
Email Address
State Lic. Type
Federal ID No. State ID No.
Bus. Phone ( )
Planning Dept.
Enter below names of Owners, Partners, or Corporate Officers (Attach additional pages if necessary)
In case of emergency, please contact:
Wholesale & Manufacturing
$
Business Location
(Not P.O. Box)
Corporation Ltd. Liability Corp. Partnership
Sole Proprietorship
Trust
Name
Name
Address
Home Address
Title
Title
State Licensed Contractor
$
$
Delivery & Professional
Services
No. of
Employees
Phone ( )
License Reviewed & Approved By
:
RETURN ENTIRE APPLICATION FORM TO ABOVE ADDRESS AND
MAKE CHECK PAYABLE TO THE CITY OF YORBA LINDA
.
YOUR BUSINESS LICENSE WILL BE MAILED TO YOU
.
PLEASE TYPE OR PRINT CLEARLY: HOME OCCUPATION BUSINESSES, SEE REVERSE SIDE
Other
State Fee
Retail Sales
TOTAL AMOUNT DUE
$
$
$
No. of
Professionals
No. of VehiclesNo. of Units
$
Name
Address
Phone ( )
License No.
NOTE: 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 to the nearest
State Board of Equalization office.
Date:
Title:
PLEASE CALCULATE AMOUNT DUE BY ENTERING INFORMATION IN BOXES BELOW AND SIGN
Date:
Zoning Designation:
City State Zip
City State Zip
Start Date:
Cashier Validation:
All business license applications are subject to approval by the City.
Please read the following and sign:
Completion of this application does not constitute a valid business license.
I hereby certify that I am an owner/authorized representative and the information is
true, correct and that my business is permitted under Federal, State, and Local law.
Owner/
Representative Signature :
Print Name:
Expiration Date
Alarm Company (if applicable):
Phone ( )
Home Address
Name Title Phone ( )
Bus. Fax ( )
City, State, Zip
City, State, Zip
Comments:
