Finance Department 310 W. Elm St. P O Box 3006 Lodi, CA 95241-1910 Phone: 209-333-6717 fax: 209-333-6795

DBA (Doing Business As)		Contr Lic#
Owner/Corp Name		Sellers Permit #
Ownership Type	Sole Proprietor Partnership Limited Liability Partnership Corporation Limited Liability Corp	Phone #
Bus Description
Mailing Address
City, State, Zip
Attention:
Business Address	(if different then mailing address)
City, State, Zip

A Home Occupation Permit is required when your business address is your home.
To obtain a Home Occupation permit, go to Community Development Department at City Hall, 221 W. Pine Street.