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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 Billiard Business Permit Application REV. 10/11/22 BILLIARD PERMIT APPLICATION This Application is for (check one) New Permit Annual Renewal Business Name: (If a Corporation, the name shall be as set forth in its Articles of Incorporation) Business Address: Business Telephone Number and Email Legal Name of Applicant(s): Home Address: Telephone Number and Email: California Driver’s License Number and Expiration Date: Social Security Number: 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. If the applicant is a partnership, the names, addresses and telephone numbers of each general partner. If one of the partners is a corporation, see above requirements. A full description of the intended business activity and, if a new business, the estimated starting date of such business activity: The names, addresses and telephone numbers of at least two individuals who may be contacted by the City in case of an emergency: State the exact location within the business establishment where the public billiard room is to be located: The number of billiard tables for which a permit and license is being applied ---PAGE BREAK--- Business License 38250 Sierra Highway Palmdale, CA 93550 661/247-8384 661/267-5434 [EMAIL REDACTED] [EMAIL REDACTED] Page 2 of 2 Billiard Business Permit Application REV. 10/11/22 OPERATING REQUIREMENTS: 1. Visibility of Interior or Premises - Every billiard club or public billiard room shall be maintained so as to provide a clear and unobstructed view of the entire interior of the public billiard room or billiard club from the entrance into such room or club. A public billiard room or billiard club may be part of a more extensive business establishment that conducts other business activities and, in that event, need not be visible from the entrance to the more extensive business establishment. 2. Hours of Operation - No public billiard room, billiard club or similar place of business shall be open from 2:00 a.m. until 6:00 a.m. of any day, nor shall an owner, manager, or other person having charge of any billiard club or public billiard room keep the same open or allow or permit any game to be played therein between those hours of any day. 3. Age Restrictions - The owner, manager or other person in charge of any public billiard room or billiard club shall not permit any person under the age of 18 years to be, remain in, enter or visit such place unless such minor is accompanied by one of his parents or by his guardian or by a spouse eighteen years of age or older. 4. Disorderly Persons - No owner, manager or other person in charge of any public billiard room or billiard club shall allow or permit any intoxicated, quarreling or disorderly person or persons to be or remain in such place. 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