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City of Redwood City Business License Tax Application Finance Department Questions.Contact:Luis Bertelsen Redwood Revenue Services Division Ibertelsen @redwoodcity.org C�CVOgIItgPId1 P.O.Box 3355 (650)780-7214/Fax(650)368-6974 11 l I��nmma+� 1017 Middlefield Road Redwood City,CA 94063 RWC License#.-- NAICS Code ❑ New Business O Change of Ownership Business Name Phone 1/�_l�C • _��: �°i� �� o�s��ccll��J�1 �� ;-��": ) a72_ -__ls Business Addre (i clude Zi E-mail Address Mailing Address(include Zip) r� Expected Openiry Date(MM-DD-YY) i( Busines Description(pleas be specific) #of Persons(including owners,partners,employees) Federal Tax ID Sellers Permit(if applicable) State Contractor License(if applicable) 777 DUIL-fL_ -__ ------ ------- Business wners/Corporate Directors/Partners Title i1�r1 7 u 1_2& Car- - - - --- --- ��---- Contact Person(in case of an emergency) Phone arm / �/JJ - - -- - - eg isr 71 y Business Type ✓ - If Real Estate Rental Business If Applicable ❑ Sole Proprietor Corporation ❑ Limited Partnership Commercial #of coin machines ❑ Partnership ❑ Joint Venture ❑ LLC (#of square feet) O Co-Partners ❑ Business Trust ❑ Government Residential #of delivery trucks (# units) Is your corporate office located in Redwood City? ❑ Yes No;if not,where? Is your business home-based? ❑ Yes L1 No What is the square footage of your business location? Appropriate permits from the planning,building,fire,police and/or other departments of the city may have to be secured before the start of your business.The business location,whether owned or leased,must be properly zoned and the building must meet fire code and hazardous materials standards.A Business License Tax does not Indicate clearance from the city,county,state or federal governments from permits or licenses,which may be required for your type of business.Business License Taxes are non- refundable(Sec 32.117).You may want to contact the appropriate City departments,and/or county,state or federal agencies before submitting your application. *On September 19,2012 SB-1186 was signed into law by Governor Brown which adds a state mandated fee of$1.00 on any application for a local business license or similar instrument or permit,or renewal thereof.The purpose of the law is to increase disability access and compliance with construction-related accessibility requirements and to develop educational resources for the businesses in order to facilitate compliance with federal and state disability laws,as specified. '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.des.ca.RovL-dsa Home.as x • The Department of Rehabilitation at:www.rehab.cahwnet.gov • The California Commission on Disability Access at:www.ccda.ca.gov I declare,under penalty of perjury,that this application has been prepared by me or under my direction and to the best of my knowledge and belief,is true and correct. Signature Title Date Fee Calculation:Base Fee $ 58.00 Credit card payment information MC VISA #of persons full-time(Including owners,partners Credit card number- $38= $ 1t - -- - -- - - - and full-time employees) x 1 Credit card expiration date it of persons part-time _ x$19= - Revenue Services approval #of rental units x$21= $ __-_-- _ #of commercial sq.ft._ x$21= $ Consistency Check: #of coin machines x $11= $ Zoning District_ Late payment penalty(10%per month) $ OPermitted ❑Conditionally Permitted ❑Not Permitted Fee proration $(- - - - Planner SB-1186,State Mandated Disability Access and Education Revolving Funds $ L 1.00 . Notes Total fees due(see fee schedule to determine fees) $ Police Department Approval I