Business License Form

Business License

CITY OF ROSEMEAD
8838 E. Valley Blvd., Rosemead, CA 91770

(626) 569-2100 • Fax (626) 307-9218
BUSINESS LICENSE APPLICATION

Applicant First Name: Last Name:

Business Address: Street: City:

Applicant Phone #: Apllicant Email: Check here if you prefer notices by email

Structure Type: Select of ownership structure from drop down

Will This Business Provide Goods For Sale? Yes No N/A

If Yes, What Goods Will Be Sold?

For Office Use Only L: C: A:

Security Measure