Fillable f m DIAMOND BAR Business License Application (City of Diamond Bar)

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f m DIAMOND BAR Business License Application (City of Diamond Bar)

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The f m DIAMOND BAR Business License Application (City of Diamond Bar) form is 2 pages long and contains:

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  • 22 check-boxes
  • 56 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Diamond Bar

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ComDev/Business License/Forms/Business License Application Updated:
STAFF USE ONLY
Classification Code: ______________________ Amount Paid: _________________________
Zoning Approval: ______________________ Processed By: _________________________
Comments: ______________________ Date Processed: _________________________
Dental office forms provided to applicant?  Yes No
Staff Use Only
Business License #:
Business License Application
Community Development Department ~ 21810 Copley Drive ~ Diamond Bar, CA 91765 ~ (909) 839-7030 ~ www.DiamondBarCA.gov
# of Employees:
Zip Code:
Business Name:
I declare, under penalty of perjury under the laws of the State of California, that the information provided in this application is
true and correct. I understand that the issuance of a business license does not constitute approval of land use, and that I am
responsible for compliance with the City’s zoning, building, health and safety requirements and all other applicable laws prior to
the commencement of business.
*See reverse for a list of businesses requiring background checks
BUSINESS INFORMATION
Description of Business Activities:
Mailing Address (If Different From Above):
Business Address:
E-mail:
City: State:
City: State: Zip Code:
Website:
After Hours Contact: Phone:
Business Phone:
PLEASE READ, SIGN AND DATE
New Business (Zoning Clearance
Required): $
Business Located Out of City: $ New Home Based Business License
(Zoning Clearance Required): $
Non-Profit Business: Fee Waived
with Proof of Non-Profit Status
Business Requiring Background Check(s)
(Complete back of application form)*: $
Per Person
Change of Location (Zoning Clearance
Required): $
Business License Renewal: $14 Change of Business Name or Ownership
Only: $
Check the Box that Applies:
Business Owner
Print Name:
Signature: Date:
Title:
Owner 2 (If Applicable)
Print Name:
Signature: Date:
Title:
Pursuant to SB 1186, all fees include a State-mandated $4 fee to fund accessibility programs for disabled persons.
m
f
C I T Y 0
DIAMOND BAR
CALIFORNIA
122.01
122.01
122.01
42
42
342
7/1/19
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ComDev/Business License/Forms/Business License Application Updated:
Business License Application
Part 2
Community Development Department ~ 21810 Copley Drive ~ Diamond Bar, CA 91765 ~ (909) 839-7030 ~ www.DiamondBarCA.gov
BACKGROUND CHECK REQUIREMENTS:
Applicant 1 Name (Print):
Address:
Phone No: ( ) -
Applicant 2 Name (Print):
Address:
City/State/Zip:
Drivers License #:
I hereby authorize the City of Diamond Bar to conduct a Background Check:
I hereby authorize the City of Diamond Bar to conduct a Background Check:
City/State/Zip:
The following business types are required to complete a background check investigation prior to the issuance of a
Business License.
This investigation may include reports from the Sheriff’s Department, Planning and Building & Safety Divisions, Fire
Department, Los Angeles County Health Department, and any such other information as deemed necessary by the City in
order to determine if the applicant meets the business license criteria for issuance. If you have one of the following
business types, please check the appropriate box and complete the background check information below:
Acupressure Establishments Firearms Dealers
Adult Oriented Businesses Indoor Amusement/Entertainment Facilities
Alarm Systems Massage Establishments
Alcoholic Beverage Sale (Off-Site Consumption) Pawnbrokers and Second Hand Dealers
Bars and Nightclubs Peddling-Solicitation
Computer Services (Network Gaming Center) Psychic Reading
Entertainment Establishments Tow Trucks and Towing Companies
BACKGROUND CHECK APPLICANT(S): $ Per Applicant (Submit additional forms if necessary)
Applicant’s Signature:
Applicant 3 Name (Print):
Address:
City/State/Zip:
I hereby authorize the City of Diamond Bar to conduct a Background Check:
Applicant’s Signature:
Phone No: ( ) -
Drivers License #:
Phone No: ( ) -
Drivers License #:
Applicant’s Signature:
Date:
Date:
Date:
Title:
Title:
Title:
m
f
C I T Y 0
DIAMOND BAR
CALIFORNIA
BACKGROUND CHECK APPLICANT(S): $342 Per Applicant (Submit additional forms if necessary)
7/1/19
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f m DIAMOND BAR Business License Application (City of Diamond Bar)

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Completed 3 August 2020

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