Doing Business As
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Corporate Name
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Bus Address
(Must be physical location, not a Post Office Box)
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Mail Address
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Please describe your business here before proceeding
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Ownership Type
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Employee Count
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If your business is located outside of the city, you must enter the estimated value of the job. If you are applying to be an in-town business, enter 0.
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Start Date in City of Moreno Valley
(estimate if in the future)
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Contact Information
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Phone
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Cell Phone/Alternate Number
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Fax
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Website
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Email Address
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Seller's Permit
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Corporations enter Federal ID # here.
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Enter your State ID # here
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Contact Preference
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State License Information (Contractor, Medical, CAMTC, etc.) |
State License #
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Type of State License
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State License Expire Date
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State License Verification *
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Additional Information
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Please enter the number of company vehicles/equipments coming into the city
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What is the primary Standard Industrial Classification (SIC) Code for this business location? Visit https://www.naics.com/ for help to determine the primary SIC code.
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Is the above SIC code regulated by the NPDES Industrial Activities Stormwater General Permit? Click here
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Yes No
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If Yes, provide the NPDES Industrial Activities Stormwater General Permit Identification # assigned by the State Water Resources Control Board to the business. (WDID #, NEC ID #, NONA ID #, Application ID #)
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File Attachments (if required).
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Fictitious Name Statement & Proof of Publication
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*This file type is not allowed. List of supported file types.
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Seller Permit
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*This file type is not allowed. List of supported file types.
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Other Governmental Licenses/Permits
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*This file type is not allowed. List of supported file types.
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*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.
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