CITY OF SEBASTOPOL
APPLICATION FOR BUSINESS LICENSE
P.O. Box 1776, Sebastopol, CA 95473 (7120 Bodega Av. Sebastopol., CA 95472)
Phone (707) 823-7863 Fax (707) 823-1135


General Business Information








Mailing Address same as Business Address






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Does your business require permits from other agencies?* Yes No


Names of Owners, Officers, Partners and Business License Renewal Contact



Owner 1


 




Owner 2






Emergency Contact


Email Notifications *

I would like to receive email notifications in addition to paper notifications I don't want to receive email notifications.

Disability Access

Under federal and state law, compliance with the disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with building open to the public. You may obtain information about your legal obligations and how to comply with disability access laws at the following agencies:
The Division of the State Architect at www.dgs.ca.gov/dsa/Home.aspx
The Department of Rehabilitation at www.regab.cahwnet.gov
The California Commission on Disability Access at www.ccda.ca.gov

Certification/Signature

All businesses with employees must have valid current worker's compensation insurance or a certificate of self-insurance. I certify that in the performance of work for which this certificate is issued, I shall not employ any person without having a certificate of self-insurance or valid worker's compensation insurance.  

I understand as a condition of approval for a business license in the City of Sebastopol, I must obtain Planning, Building and Fire clearance prior to the commencement of business in the City. These clearances are required and the fees for service are in our User Fee Schedule. PAYMENT OF TAXES AND FEES DOES NOT CONSTITUTE CITY APPROVAL.  

Business Licenses will not be issued until completion of the application review process and payment of the applicable fees and business license tax.  

License issued under the business license ordinance are not transferrable to new owners  

Violation of any provisions of the business license ordinance or knowingly misrepresenting any material fact in procuring a license constitutes a misdemeanor punishable by fine or imprisonment.  


The processing time for a business license application is approximately 30 days.

By submitting this application, I , under penalty of perjury, that the information given in this application is correct and complete to the best of my knowledge and belief:


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