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Business License Tracking Sheet
4
Address: L
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Planning/Zoning yas ❑ no date I Z1, �- initials G
Building
❑ yes Ono - date_
Violations /' ❑ yes 0 no date
C/O issued _ - -0 yes Ono date,
Date.of inspeotitm-
Date of 2nd inspection:
initials
initials
'initials "
Building Dept Comments:
Contact inspector � at 760/323.8242, ext <�
CERTIFICATE OF OCCUPANCY - CITY-OF'PALM SPRINGS
This is to certify that the building or tenant space, hereby described, has been
The following occupancy group and type of construction is authorised: �-�,�,.:•-
ADDRESS OF PROPERTY:
OCCUPANCY.GROUP:
.BUSINESS NAME:
P-W
TYPE OF CONSTRUCTION ,,
NUMBER OF UNITS OCCUPANT WAD: ..�
LEGAL DESCRIPTION OF PROPERTY:
BLDG PERMIT OR BUS LICENSE NO. & DATE ISSUED: am n S,..-..�
TENANT OR OWNER OF PROPERTY:
MAILING ADDRESS:
..Building Off cial Aut orized Signature
Gary Bitterman
Date: t Title: Building zt
THIS CERTIFICATE MUST 6E POSTED MD PERMANENTLY MAINTAINED IH h C"ONSPIC(10US pL
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» APPLICATION FOR CITY OF PALM SPRINGS BUSINESS LICENSE
BUSINESS NAME:
BUSINESS ADDRESS: ?� D� • .ham �- ��'-
fpw K I��t.] C ri ZIP: �" PHONE: 7
MAILING ADDRESS: &� ('Jvve
OWNERSHIP: INDIVIDUAL PARTNERSHIP CORPORATION LLC TRUST
(FYI: A FEDERAL I.D. # IS REQUIRED FOR ALL TYPES OF OWNERSHIP EXCEPT INDIVIDUAL)
CORPORATE NAME:
NAME OF OFFICERS OR OWNERS TITLE SOCIAL SECURITY #
EMERGENCY CONTACT:'
TYPE OF BUSINESS: V %)VVvQJ'i G�, ��= !1��'`� (?°�lri
FEDERAL ID # SELLER'S PERMIT#
STATE CONTRACTOR # CLASS DRIVER'S LICENSE" 143 3 0,3
# OF RENTAL UNITS # OF FUEL PUMPS
# OF PERSONNEL WORKING IN THE CITY OF PALM
PLANNING APPROVAL
PLEASE RETURN THIS FORM ALONG WITH YOUR
FOLLOWING ADDRESS:
CITY OF PALM SPRINGS BUSINESS LICENSE
P.O. BOX 2743
PALM SPRINGS, CA 92263-2743
# OF VENDING MACHINES
SPRINGS: JL
Zahn m — f
CK PAYABLE TO THE CITY OF PALM SPRINGS TO THE
BUSINESS LICENSE FEE $ 3 Do
BUILDING INSPECTION $
HOME OCCUPATION FEE $
PENALTY % $
PLEASE FILL IN ALL APPLICABLE SPACES. TOTAL AMOUNT DUE $
FOR LICENSE FEE INFORMATION PLFASE CAL 76 ) 32 (� r L17
BUSINESS OWNER SIGNATURE: Lr l DATE:
DEPARTMENTAL USE ONLY
ACCOUNT #�a) 0059,5/ 1/0,