Business Incentive Program for New and Expanding Businesses
Application Form
Name of New/Expanding Business_________________________________________________
Business Address_________________________________________________________________
_________________________________________________________________________________
Name of Business Owner/Applicant________________________________________________
Owner/Applicant Contact Information:
Mailing Address____________________________________________________________
___________________________________________________________________________
Daytime Phone ________________________
FAX ____________________________
Email _____________________________________________________________________
Business Start-Up or Opening Date________________________________________________
City of Angels Business License No.________________________________________________
Type of Business__________________________________________________________________
Expected No. of Employees: Full_____ Part time_____
Please sign and date this application at the bottom and return it to:
Destination Angels Camp
1211 S. Main Street, Suite 220
PO Box 984
Angels Camp CA 95222
Also enclose copies of the following:
Proof of control of business premises (copy of lease, or copy of deed)
Any applicable state, county, or local permits such as (Resale license, Health Dept.
Permit, City Use Permit)
Signature of Owner/Applicant___________________________________Date___________
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The following Business qualifies for Destination Angels Camp’s Business Incentive Program:
__________________________________________ Good for one year starting: _____________ (date)
(Signed by DAC rep)_______________________(title)_______________________(date)___________
Visit:
for current list of participating business sponsors and Program Terms and Conditions