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<br />RWC LICENSE NO. <br /> <br />CITY OF REDWOOD CITY <br />BUSINESS TAX APPLICATION <br />P.O. BOX 3355 <br />1017 MIDDLEFIELD ROAD <br />REDWOOD CITY, CA 94063 <br />TELEPHONE (650) 780-7214/ FAX (650) 368-6974 <br /> <br />BUSINESS NAME ~Ve- 'lb ]S~ . BUS. TEL. NO. St 0 45".l.. q c2 b' J <br />BUSINESS ADDRESS (include Zip Code) 35'0 trd~ k 11-. ~JCt wC<.,. .tra... U-l.. /1900 ,. ()a..-k(a j.,l ~ VA CJ I.{6' /:2. <br />MAILING ADDRESS (include Zip Code) II If <br />DESCRIPTION/TYPE OF BUSINESS Iv ((Vi- (1:.$-1; +- <br />DA TE BUSINESS OPENED IN REDWOOD CITY ,/ NUMBER OF PERSONS (including owners, partners, and emp/oveesJ <br /> <br />:,/ <br /> <br />ST ATE CONTRACTOR Lie. NO. IF APPLICABLE <br /> <br />/' <br /> <br />SELLERS PERMIT NO. IF APPLICABLE <br /> <br />BUSINESS OWNER'S NAME(S) <br /> <br />TITLE <br /> <br />HOME ADDRESS <br /> <br />HOME PHONE <br /> <br />BUSINESS TYPE: <br /> <br />D SOLE PROPRIETOR <br /> <br />D CORPORATION <br /> <br />D LIMITED PARTNERSHIP D JOINT VENTURE <br /> <br />D LLC <br /> <br />D PARTNERSHIP D CO-PARTNERS D BUSINESS TRUST <br />FEDERAL TAX ID NO. C\L-\ --(OOT & Lt .2.0 <br /> <br />D GOVERNMENT <br /> <br />If Real Estate Rental Business: <br />RESIDENTIAL: No. of units <br />COMMERCIAL: No. of square feet <br /> <br />NO. OF COIN MACHINES, if any' <br />NO. OF DEUVERY TRUCKS, if any' <br /> <br />IN CAS~ OF EMERGENCY, LIST A CONTACT PERSON FOR POLICE ND FIRE PEPARTMENT: rn (!) i ". . _3 "f.:r- <br />" '} t1 LLdtev . q,-ec; tJV Eolu..(Cl~ 'UL- 5lo '-IS-:{ q;( 6{ eM-. Is <br /> <br />Approp' e permits from the Planning, Building, Fire, Polic and/or other Departme ts of the City may have to be secured before <br />the start of your business. The business location, whether owned or leased, must be properly zoned and the building must meet fire <br />code and hazardous materials standards. A business tax license does not indicate clearance from the City, County, State <br />or Federal Governments from permits or licenses, which may be required for your type of business. ** BUSINESS TAX <br />UCENSE FEES ARE NON-REFUNDABLE**(Sec. 32.117). You may want to contact the appropriate City Departments and/or <br />County, State or Federal agencies before submitting your application. <br /> <br /> <br />I declare, under penalty of perjury, that this application has been prepared by me or under my direction, and to the best of my <br />knowledge and belief, is true and correct. <br /> <br /> <br />TITLE b:<<. eP ~ b i r. <br /> <br />DATE /I ( 1- ( 0 i <br /> <br />FEE CALClJLA TlON <br /> <br />BASE FEE <br />No. of persons FT_ <br />No. of persons PT_ <br />No. of units <br />No. of square feet <br /> <br />=$ <br />=$ <br />=$ <br />=$ <br /> <br />x$ <br />x$ <br />x$ <br /> <br />37.00 <br /> <br />Credit Card Payment Information: MC VISA <br /> <br />Credit Card Number: <br /> <br />Credit Card Exp. Date: <br /> <br />Commercial x $ <br />PENALTY: 10% of total fees per month up <br />to 100% per fiscal year. <br />Fee Proration: <br /> <br />=$ <br />=$ <br />=$ <br /> <br />Revenue Services: <br /> <br />Planning/Building & Inspection Approval: <br /> <br />TOTAL FEES DUE =$ <br />( See fee schedule to determine fees) <br /> <br />APPLICANT'S SIGNATURE <br />