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(Phone) (310) 524-2317 (Fax) (310) 640-0489

City of El Segundo
Finance Department

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General Business Information


Mailing Address same as Business Address

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List the TOTAL NUMBER OF ALL PEOPLE (including owners, officers, partners, fulltime, part-time, seasonal and 1099 independent contractors) that work in the City of El Segundo during any part of the calendar year. Use of Full-time equivalents IS NOT acceptable.
List the total of all floor space leased (rentable square footage) in the City. Exclude elevator shafts, stairwells, uncovered courts or atriums, building equipment rooms, and parking areas.


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Is this an El Segundo Home Based business?

Is this business Home Based ?* Yes No

Additional Business Information

Do you own this property?* Yes No

Is your Organization tax exempt? Yes No
Is your occupation licensed by the State of California? Yes No

Names of Owners, Officers, Partners and Business License Renewal Contact

Business License/Renewal Contact


Contact 1


Contact 2

Additional Contact Information

In City Location Questions

Food and Beverage sold or served?* Yes No

Alcoholic Beverages sold or served?* Yes No

Tabacco Products sold?* Yes No

Dancing or Live Entertainment?* Yes No

Storage of Hazardous Materials?* Yes No

Planning to install or operate an Alarm System?* Yes No

Are you sharing location with another business?* Yes No

Is this location an Executive Suite, Virtual Office, or Shared work locations?* Yes No

Is this entity a Holding Company/Corporation, Passive Investment Entity, etc?* Yes No

Renewal Notice Delivery Method *

Opt for Paper Only (You can still renew and pay online) Opt for Email Only

Disability Access

Under federal and state law, compliance with the disability access laws is a serious and significant responsibility that applies to all California building owners and tenants with building 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
The Department of Rehabilitation at
The California Commission on Disability Access at



Contact the Planning & Building Safety Department at (310) 524-2344 to confirm your business meets the requirements of the City’s building and zoning ordinances.

I understand that is Business Registration and issuance of a City of El Segundo Business Tax Certificate is not a regulatory license to operate but a tax imposed by the City. It is the responsibility of the applicant/certificate holder to ensure their business complies with all applicable City of El Segundo codes, City zoning ordinances and State and Federal laws. I agree to conduct all phases of this business in conformance with all applicable laws, ordinances and regulations established for such business/profession.

By submitting this application, I , accept & understand these conditions; declare under penalty of perjury the foregoing is true & correct; that I am an authorized representative of this business.:


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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.

The City of El Segundo takes your privacy seriously. Pursuant to the California Public Records Act, some of the information requested on this form will become a matter of public record once submitted. However, this form asks you to provide the City with certain personal information that is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals. The remaining information on this form will be kept confidential to the maximum extent permitted by law.