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Business License 38250 Sierra Highway Palmdale, CA 93550 661/247-8384 661/267-5434 [EMAIL REDACTED] [EMAIL REDACTED] Page 1 of 2 House and Street Numbering Business Permit Application REV. 10/11/22 HOUSE & STREET NUMBERING PERMIT APPLICATION This Application is for (check one) New Permit Annual Renewal Legal Name of Applicant(s): Business Name if advertised to the public under a name other than the applicant: Address: Phone number and email: If a corporation, the names and addresses of all directors, any stockholder holding 10% or more of the shares, and the name and address of an officer who is duly authorized to accept service of legal process: The full name, residence address and telephone number of each person proposed to engage in house/street numbering (please attach list of members if necessary) The streets and areas where such numbering is to take place and the hours during which it is to take place: A brief description of the equipment used or to be used for such numbering and the brand of paint used or to be used for such numbering: The rates to be charged for such numbering: The names, addresses and telephone numbers of at least two individuals who may be contacted by the City in case of an emergency: ---PAGE BREAK--- Business License 38250 Sierra Highway Palmdale, CA 93550 661/247-8384 661/267-5434 [EMAIL REDACTED] [EMAIL REDACTED] Page 2 of 2 House and Street Numbering Business Permit Application REV. 10/11/22 PERMIT SUBJECT TO CONDITIONS: The applicant and all other persons proposed to do house or street numbering shall provide: • The applicant’s Livescan fingerprinting and photo be taken at City of Palmdale’s Human Resources. • LASD License Detail Personal Information form. • A photocopy of a valid California Driver’s License. 1. No person shall engage in house or street numbering in any area of the City zoned for residential use under this Code after 8:00 p.m. until 9:00 a.m. the following day. 2. No person shall engage in house or street numbering without first obtaining the written consent of the owner of occupant of the subject premises. 3. Any numbers or markings shall be painted on the curb immediately fronting the designated premises in black on a white and beaded background. Such numbers or markings shall be eight inches in height and one inch in width. 4. Every person engaging in house or street numbering shall have in his or her possession, and exhibit to any occupant or owner of property for which he or she is painting such numbering, the permit required by this Section. 5. If the house or street numbering done is of poor quality or appearance, as determined by the Director, the permittee shall, upon notification and within a reasonable time, redo the numbering at no charge. I declare under penalties of perjury that this application is true and correct to the best of my knowledge and belief. Signature Title Date OFFICE USE ONLY Recommend ( ) Not Recommended ( ) Los Angeles County Sheriff’s Department: Signature Date Planning Manager: Signature Date