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2. Name of your legal business
3. Phone Number
7. Address
9. City
10. State
11. Zip Code
15. Mailing Address
17. City
18. State
19. Zip Code
21. Designated Contact for Business Matters
22. Phone Number
23. Email Address

25. If physically located in Cotati, how many employees work at the Cotati location only, including Owners/Partners?

27. Full Time
28. Part Time
30. If physically located in Cotati, is your business operated out of your home?

    1. Yes
    2. No
32. If yes, do you operate the business more than 30hrs/week?

    1. Yes
    2. No
34. If no, what is the Max capacity of your business?
36. Applicable Range of Gross Annual Income
    -- Select One --0 to $3,000$3,000 to $6,000Over $6,000Not Applicable
38. Does your business manage more than two housing rental units, and if so how many units?

    1. Yes
    2. No
40. Number of Rental Units
42. Does your business collect income from renting storage space, and if so how many storage spaces are rented?

    1. Yes
    2. No
44. Number of Storage Spaces
46. How many vending machines do you have in operation?
48. How many billiards, poolroom or game tables do you have in operation?
50. Does your business sell alcohol, and if so what type?

    1. Yes
    2. No
52. Type of Alcohol
    -- Select One --NoYes - Beer and WineYes - Beer, Wine, and Spirits
54. How many days a year does your business host public live entertainment on premises?
    -- Select One --012345More than 5
56. If physically located in Cotati, do you have an alarm system or other video surveillance system at your business?

    1. Yes
    2. No
58. If you answered Yes and have a managed alarm system please apply or renew the registration for your alarm system at: https://www.municipalonlinepayments.com/cotatica/easypay
60. If you answered Yes and have a video surveillance system, we encourage registration of the system with the City Police Department. Please see more information here: https://www.cotaticity.org/city_hall/departments/police/surveillance_camera_registration_program
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62. 1. Receive an email copy of this form.
63. Email address

    This field is not part of the form submission.

64. Submit

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