Required
8. Is there a planned or potential material discharge to the sewer or storm drain from the site? *
Yes
No
Required
Required
9. Do you repair, service, or wash vehicles, equipment or property on-site? *
Yes
No
Required
Required
10. Will your business involve cultivation, distribution, processing, possession, use, delivery and/or sale of medical or any other form of marijuana/cannabis (H&S Code
11018), cannabis products (H&S Code 11018.1) or cannabis accessories (H&S Code 11018.2)?*
Yes
No
Required
Required
11. Will your business distribute, manufacture, store, sell or use Cannabidiol (CBD) /
Hemp products? *
Yes
No
Required
Required
12. Does the preparation or sale of food take place on or off site? *
Yes
No
Required
Required
13. Will there be any sales of alcoholic beverages on or off site? *
Yes
No
Required
On October 11, 2017 Governor Brown signed into law AB-1379 which adds a state fee of $4 on any applicant for a local business license
or similar instrument or permit, or renewal thereof starting on January 1, 2018 (CASP State Fee). The purpose is to increase certified access
specialist (CASP) training and certification within the local jurisdictions and to facilitate compliance with construction-related accessibility requirements.
Under federal and state law, compliance with disability access laws is a serious and significant responsibility that applies to all
California building owners and tenants with buildings 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
The Department of Rehabilitation at www.dor.ca.gov
The California Commission on Disability Access at www.dgs.ca.gov/CCDA
Disability Access Requirements and Resources as required by the State of California can be found at
https://www.dgs.ca.gov/DSA/Resources/Page-Content/Resources-List-Folder/AB-3002-Model-Notice
Please sign your name below, using the mouse or your touch screen enabled device. To use mouse, left click and hold while dragging the mouse over the signature line.