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DBA
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Business Name
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Business Address
(Must be physical location, not a Post Office Box)
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Mail Address
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Describe your business
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Ownership Type
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Employee Count
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Enter gross receipts estimate
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Start Date in Pomona
(estimate if in the future)
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Contact Information
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Phone
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Phone 2
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Fax
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Website
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Email Address
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SBOE
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FEIN
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SEIN
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Contact Preference
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State License Information (Contractor, Medical, CAMTC, etc.) |
State License #
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State License Type
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State License Expire Date
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State License Verification *
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Additional Information
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What is the sq. footage of the location you occupy?
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What is the maximum occupancy permitted by the City of Pomona?
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How many full-time employees does your business have?
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How many part-time employees does your business have?
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What was the previous use of the space your business is currently in?
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What are the days and hours of operation of your business?(please provide each day broken out for open to close)
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Does your business sell to the general public?
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Yes No
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Is your business wholesale only?
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Yes No
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If yes, please provide the wholesale description.
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Is your business manufacturing only?
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Yes No
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Does your business Produce, Process, Research, Test, and/or Sell any form of Cannibis?
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Yes No
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Does your business offer motor vehicle rental?
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Yes No
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If yes, please define rental type.
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Do you rent/lease this business property?
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Yes No
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If yes, who is the property owner?
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Does your business offer massage?
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Yes No
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If yes, what is your California Massage Therapy Council Certificate Number?
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Do you prepare or sell food for consumption?
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Yes No
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If yes, what is your Public Health Permit Number?
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Does your business involve the sale of alcohol?
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Yes No
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If yes, what is your ABC license type and number?
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Does your business have an outdoor dining area?
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Yes No
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If yes, what is the square footage of the area?
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Does your business offer valet parking?
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Yes No
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If yes, is the parking located onsite or offsite?
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If offsite, what's the address?
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Does your business sell any tobacco, vape, or electronic cigarette products?
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Yes No
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If yes, what percentage of retail space is utilized for display of these products?
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If yes, what percentage of gross receipts are expected to be generated from the sale of these products?
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Is your business restaurant space?
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Yes No
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If yes, how many seats and tables will be available for dine-in services?
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If yes, will the restaurant have take-out options?
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Yes No
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Will this business allow hookah smoking on the premises?
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Yes No
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How many of the following parking spaces are available on site (not on the public right-of-way)? Standard; Compact; Handicap
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File Attachments (if required).
More Info |
Home Occupation - HOP and Zoning Clearance Form
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*This file type is not allowed. List of supported file types.
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A copy of the Primary Owner's Driver's License - Required for all new applicants
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*This file type is not allowed. List of supported file types.
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*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.
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