* Required          

DBA
Business Name
Business Address (Must be physical location, not a Post Office Box)	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Mailing Address	Same as address above
	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Please provide a description of the business.
Ownership Type	Corporation Husband & Wife Ltd Liability Co Ltd Partnership Partnership Sole Proprietorship Trust
Please enter estimate gross receipts for the next 12 months, a zero amount would render the application incomplete. *
Contact Information
Business Phone
Phone 2
Fax
Website
Email Address
Seller's Permit
FEIN
SEIN
State License Information (Contractor, Medical, CAMTC, etc.)
State License #
State License Type
State License Expire Date
State License Verification *
Additional Information
By choosing yes, you agree to receive City of Fontana business newsletter and/or business specific information. *	Yes No
Only for warehouses located in Fontana city limits, please enter gross square footage
What is the primary Standard Industrial Classification (SIC) Code for this business location?
Is the business SIC code regulated by the NPDES Industrial Activities Stormwater General Permit? *	Yes No
If Yes, provide the NPDES Industrial Activities Stormwater General Permit Identification # assigned by the State Water Resources Control Board to the business.
Are you the property owner? *	Yes No
Number of part-time employees *
Number of full-time benefited employees *
Number of contract employees *
File Attachments (if required).
File Attachments
File Description
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File Attachments
File Description
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File Attachments
File Description
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File Attachments
File Description
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File Attachments
File Description
	*This file type is not allowed. List of supported file types.
*Cumulative file size can not exceed 89MB. Please reduce the size of your files and try again.