HomeMy WebLinkAboutCertificate of Use Business License Updated 112123CITY OF PALM DESERT
73-510 Fred Waring Drive
Palm Desert, CA 92260
P: (760) 346-0611 F: (760) 776-6356
www.cityofpalmdesert.org
CERTIFICATE OF USE
Business Owner / Operator:
Name:
Street Address:
Email Address:
Business Information:
Business Name:
Street Address:
Operating Hours:
Number of Employees:
Number of Business Vehicles:
Where are Vehicles Parked:
3usiness Description:
Business Lic. #:
Expiration Date:
Telephone:
City:
Zip:
Business Phone:
City: Zip:
Days of the Week:
Square Feet of Lease Space:
Type of Business Conducted:
❑ Automotive ❑ Personal Services
❑ Light Industrial / Manufacturing ❑ Residential Management
❑ Massage ❑ Restaurant
❑ Medical Office ❑ Retail
❑ Professional Office ❑ Other
Does your business require a health permit to serve food/beverages? ❑ Yes ❑ No
Does your business provide live entertainment? ❑ Yes ❑ No
■ Days / Hours:
Does your business require outdoor storage? ❑ Yes ❑ No
Landlord Information:
Name:
Street Address:
City:
Telephone:
Zip Code:
Business Owner Signature: Date:
For City Staff Use Only
Planning Department
Zoning District:
❑Approved ❑ Denied
Special Conditions:
Reason(s) for Denial:
Planner's Signature and Title Date
Code Enforcement
❑ Approved ❑ Denied
Special Conditions:
Reason(s) for Denial:
Officer's Signature and Title Date