BUSINESS LICENSE APPLICATION 1 Town Square Murrieta, CA 92562 (951) 461-6042

Please Check One
1 Town Square
Murrieta, CA 92562
(951) 461-6042
www.murrieta.org
BUSINESS LICENSE APPLICATION

New Application

Change of Owner

Change of Address

Change of Business Name

Reactivate
Business Name
Sales tax may apply to your business activities. You
may seek written advice regarding the application of tax
to your particular business by writing to the nearest
California State Board of Equalization office.
Corporate Name
Bus. Start Date
Please type or print. Make changes in printed information where necessary.
(if applicable)
Resale No.
Business Location
(Cannot be P.O. Box per State of California Business & Professions Code-Section 17538.5) Unless Home Based
Federal ID No.
EDD No.
State Lic. No.
Mailing Address
State Lic. Classification
Phone No.
Email Address
Fax No.
Is your business located in the City of
 No

Murrieta? Yes
Description of Business
 Corporation
Ownership

Corp-Ltd Liability
Enter below names of Owners, Partners, or Corporate Officers

Partnership
 Sole Proprietor
If yes, is this a home based business?

Yes  No
 Trust
(attach additional sheet, if necessary)
1st Owner Name
Title
Date of Birth
Home Address
Driver Lic. No.
(Cannot be P.O. Box)
Soc. Sec. No.
Cell / Pager No.
Home Phone No.
2nd Owner Name
Title
Date of Birth
Home Address
Driver Lic. No.
(Cannot be P.O. Box)
Home Phone No.
Soc. Sec. No.
Cell / Pager No.
In case of emergency, please contact
(attach additional sheet, if necessary)
REQUIRED FIELDS
Phone No.
Contact Name
Address
Cell/Pager No.
Enter below the Property Management / Alarm Company
CITY LOCATION ONLY
Property Management
Phone No.
Address
Alarm Company
Phone No.
Address
General Information
Yes


No




Fortune Telling Establishment


Adult/Sexuality Oriented Business

Yes
Bingo Gaming


Cyber Cafe
or products sold

Secondhand Dealer Pawn Broker
No
 Tattoo Parlors

Yes
Sales of Tobacco Products
or Paraphernalia



Sales of Alcohol

Drug Sales or Treatment



Massage Establishment or Technician

Taxicab Business or Driver
Gross receipts directly attributable to your Murrieta business activities last year or if
new business estimated annual sales for next year.
$
No


Door-to-Door Solicitor


Sales of Firearms


Hazardous Materials on site


Explosives / Firearms on site
Hours of Operation
Number of Parking Spaces
Please Check ALL That Apply:
Company vehicles with advertising going to any locations in Murrieta are $10.00 per vehicle


Manufacturer
High-Technology
No. of Vehicles
x $10.00 = $

Retail / Sales
No. of Vending Machines
x $10.00 = $

Service Only

Other:
Total Number of Employees
A penalty of 25% of license fee on the first day of the month following due date plus interest
at the rate of 1.5% per month will be assessed until paid.
CITY USE ONLY
FEES
APPROVALS
Base Fee
CATEGORY
BUS. LIC #
PLANNING
RECEIPT #
SIC #
VEHICLE TAG #
VENDING MACHINE TAG #
DATE APPLIED
BY
DATE
BY
DATE
BY
DATE
FIRE
POLICE
BY
DATE
DATE EXPIRES
The issuance or granting of this Business License shall not be construed to be an approval of any
conditions required by other regulatory agencies or departments which if not complied with may constitute a
violation and may prevent or delay business activities.
I declare, under penalty of perjury, that the information in this application is true and correct.
Signature of Owner or Representative:
Vending
Machine Fee
Other
BUILDING
DATE APPROVED
Print Name
Vehicle Fee
Title:
Date:
Penalty
SB 1186 Fee
1.00
NOTICE: 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.dgs.ca.gov/dsa/Home.aspx - The Department of
Rehabilitation at www.rehab.cahwnet.gov - The California
Commission on Disability Access at www.ccda.ca.gov.
RETURN APPLICATION TO ABOVE ADDRESS AND MAKE CHECK PAYABLE TO CITY OF MURRIETA.
Printed 12/27/2012: 3:46 pm
$
Total
Amount Due