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Application for Home Business Permit and Agreement

  1. Is your Mailing Address different from your Business Address?*
  2. Days Of Operation*

    (check all that apply)

  3. BUSINESS WILL INVOLVE SALES/SERVICES CONDUCTED ON THE PREMISES*

    (note: sales must be incidental/secondary to the business, such as a hairstylist selling shampoo; retail sales are not permitted as a primary use for home businesses. Please specify if sales will be online or in-person.)

  4. BUSINESS WILL INVOLVE SALES/SERVICES CONDUCTED AWAY FROM THE PREMISES*
  5. BUSINESS WILL INVOLVE CUSTOMERS VISITING THE HOME*

    (example: training, consultation, appointments)

  6. A VEHICLE WILL BE USED FOR THE HOME BUSINESS*
  7. BUSINESS INVOLVES A LARGE FAMILY DAY CARE*
  8. BUSINESS IS A COTTAGE FOODS OPERATION*
  9. (STATE LAW ALLOWS ONE FULL-TIME EQUIVALENT EMPLOYEE)

  10. Acknowledgement*

    I declare under penalty of perjury that I have read and hereby agree to abide by all the rules and limitations for operating a Home Business in the City of Modesto.

  11. Note: If we receive a complaint about the operation of the business, it is our duty to investigate so that we can verify the facts and help to make corrections or adjustments so that the problems can be solved. Our desire is to help both the complainant and the licensee. If you have any questions, please call the Planning division at 209-577-5267. Mail the top two copies to the City of Modesto, P.O. Box 3442, Modesto, CA, 95353.

  12. Provide your digital signature in order to indicate your agreement with the terms of this application. Your digital signature must be between two forward-slash (/) symbol. An example of a valid digital signature is /John Doe/.
  13. Leave This Blank:

  14. This field is not part of the form submission.