Application Form - Destination Angels Camp

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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___________
******************************************************************************
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

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