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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 Locksmith Business Permit Application REV. 10/11/22 LOCKSMITH 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 Phone 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: ---PAGE BREAK--- Business License 38250 Sierra Highway Palmdale, CA 93550 661/247-8384 661/267-5434 [EMAIL REDACTED] [EMAIL REDACTED] Page 2 of 2 Locksmith Business Permit Application REV. 10/11/22 I declare under penalties of perjury that this application is true and correct to the best of my knowledge and belief. Signature Title Date Please submit a copy of the Consumer Affairs License Bureau of Security and Investigative Services – Locksmith for everyone licensed by the state. OFFICE USE ONLY Recommend ( ) Not Recommended ( ) Los Angeles County Sheriff’s Department: Signature Date Planning Manager: Signature Date