City of Rancho Palos Verdes

2. Business Name*
4. Business Address*
6. City*
7. State*
8. Zip*
10. Is the Mailing Address different from the Business Address?

    1. Yes
    2. No
12. Mailing Address
14. City
15. State
16. Zip
18. Business Phone*
19. Social Security or Tax ID Number*
21. Email Address*
22. Confirm Email Address*
24. Owner Classification

    1. Sole Proprietor
    2. Corporation
    3. Partnership
    4. Other
26. If other, please specify.
28. Business Owner First Name*
29. Business Owner Last Name*
31. Business Description*
33. Regulated Businesses

    Please check one of the boxes below if your business is or you are an independent contractor for any of the following types of businesses:

    1. Medical Marijuana Dispensary
    2. Peddling Service
    3. Escort Service
    4. Massage Service
35. I certify under penalty of perjury that all information provided on this application is correct and that the aforementioned business is obeying all federal, state and local laws.*

    1. Agree
37. Please Note: Business license applications are due prior to commencing operations and expire each December 31st. Section 5.04.490 of the Rancho Palos Verdes Municipal Code imposes fines and criminal remedies for violation of the Business Tax Ordinance. Penalties will be assessed at 5% for each month delinquent up to 50% of the total license fee. No extensions or waivers of the penalty amount will be granted.
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field