Business Name:
Address (as shown on State Board of Equalization Seller’s Permit or Santa Barbara County Health Permit):
Business Owner’s Name:
Business Phone Number:
Federal Tax Identification Number:
State Board of Equalization Seller’s Permit Number:
Name, Title or Description of Event:
Location:
Date(s) and Time of Event:
Type or Description of Product to be Sold or Service Offered:
**PLEASE NOTE ALL FOOD PREPARATION VENDORS ARE REQUIRED TO HAVE A COUNTY OF SB HEALTH PERMIT ON SITE**
I hereby certify, under penalty of perjury, the information reported on this form is true and complete, to the best of
my knowledge.
Applicant Signature Date
License Fee:
Number of days license is requested multiplied by $10.00 equals amount owed
(Please remit this amount)
or
enter current City of Santa Barbara business license number and expiration date
or
attach a copy of IRS or State Franchise Tax Board documentation certifying non-profit status.
Please complete/submit this application, along with
the appropriate fee to the event organizer.
Thank you!
CITY OF SANTA BARBARA
APPLICATION for
SPECIAL EVENT or
ONE DAY VENDOR’S LICENSE
Finance
Cashier:
(5.04.540)
Use Tran Code
430
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signature
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