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DBA:
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Legal Business Name:
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Physical Location of Business:
(Must be physical location, not a Post Office Box)
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Mailing Address:
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Detailed description of Business
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Ownership Type
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Number of Employees at location:
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Start Date in City of Surprise
(estimate if in the future)
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Contact Information
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Business Phone Number:
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Additional Business Phone Number:
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Web Address:
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Business Email Address:
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Arizona Sales Tax Licence #:
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Federal Employee Identification #:
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| State License Information (Contractor, Medical, CAMTC, etc.) |
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Register of Contractors License #:
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Roc Type of license:
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Roc Expiration Date:
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State License Verification *
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Additional Information
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Square Footage
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Sole Proprietor Date of Birth-only use if your company is NOT a LLC, Corporation, or LTD
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Community Manager
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Community Manager Phone Number
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Community Name
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If your Business is located in City of Surprise, DESCRIPTION OF USE INSIDE HOME IS REQUIRED. Please provide type of Business that is conducted in Home. If you are located out of City of Surprise, provide brief Business description.
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Is this a Home-based business? If yes, please answer the following questions:
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Yes No
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Include a summary of the proposed use (such as business hours, activities, items used related to the business, machinery used, # of customers anticipated, and delivery schedules/times. Daycares and residential care homes must list # of clients.
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What is the square footage of the space you will be using for the business?
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Where will you be storing any supplies/materials?
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Will there be customer contact at the residence?
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Yes No
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If yes to the previous question, how many customers are you expecting/anticipating daily?
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Will there be a business vehicle(s) (including trailers) stored at this address?
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Yes No
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If yes to the previous question, provide the make & model and describe where each will be stored.
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Does your business involve a delivery service to or from the residence?
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Yes No
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If yes to the previous question, provide the frequency per day and type of delivery service (UPS/FedEx, Door Dash, etc.).
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File Attachments (if required).
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Business License Application
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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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