Fillable Printable Letter of Intent Form - San Francisco
Fillable Printable Letter of Intent Form - San Francisco
Letter of Intent Form - San Francisco
NOTE: READ INSTRUCTION PRIOR TO COMPLETING THIS FORM
INSTRUCTIONS:
1. SOLE PROPRIETOR APPLICANT: COMPLETE SECTION A & E
LETTER OF INTENT FORM
2. CORPORATE APPLICANT: COOMPLETE A, B, D, & E
SAN FRANCISCO ENTERTAINMENT COMMISSION
3. PARTNERSHIP APPLICANT: COMPLETE SECTION A, C, D, & E
DATE
TYPE OF PERMIT(S)
SECTION A
APPLICANT’S NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
RESIDENCE PHONE
BUSINESS NAME
LAST FIRST MIDDLE
BUSINESS ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
BUSINESS PHONE
PHONE NUMBER WHERE YOU CAN BE CONTACTED BETWEEN 9:00 A.M. AND 5:00 P.M.__________________________
NAMES AND ADDRESS OF PERSONS WHO WILL HAVE DIRECT AUTHORITY AND/OR CONTROL OF PREMISES:
NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
RESIDENCE PHONE
NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
RESIDENCE PHONE
NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
RESIDENCE PHONE
NAMES AND ADDRESS OF PERSONS AUTHORIZED TO ACCEPT SERVICE OF PROCESS:
NAME
LAST FIRST MIDDLE
MAILING ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
PREMISES
□ LEASED □ OWNED □ RENTED
NAME AND ADDRESS OF OWNER
SECTION B
NAMES AND ADDRESS OFFICER AND / OR DIRECTORS OF THE CORPORATION: (USE ADDITIONAL SHEET IF NECESSARY)
CORPORATE TITLE NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
CORPORATE TITLE NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
CORPORATE TITLE NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
SECTION C
NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
RESIDENCE PHONE
NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
RESIDENCE PHONE
NAME
LAST FIRST MIDDLE
RESIDENCE ADDRESS
NUMBER STREET APT# CITY STATE ZIP CODE
RESIDENCE PHONE
2
SECTION D
HAVE PARTNERS, OFFICES, DIRECTORS OF CORPORATE, EVER BEEN CONVICTED OF ANY CRIME EXCEPT MISDEMEANOR TRAFFIC
VIOLATIONS?
□ YES □ NO
NAME CHARGES DATE & COURT DISPOSITION OR SENTENCE
NAME CHARGES DATE & COURT DISPOSITION OR SENTENCE
SECTION E
DESCRIBE IN DETAIL YOUR PROPOSED BUSINESS OR SPECIFIC ACTIVITY: (INCLUDE IN YOUR DESCRIPTION THE HOURS AND DAYS OF
THE PROPOSED BUSINESS, THE SPECIFIC TYPE OF ACTIVITY, THE HOURS AND DAYS OR EACH SPECIFIC ACTIVITY, THE LOCATION IF
DIFFERENT FROM THE BUSINESS ADDRESS, TYPE OF ITEMS SOLD OR RENTED, TYPE OF LIVE ENTERTAINMENT, TYPE AND LOUDNESS OF
SOUND SYTEM, TYPE AND AMOUNT OF SOUNDPROOFING, AND PERMITS OR LICENSES THAT HAVE BEEN APPLIED FOR OR ARE ALREADY
IN EFFECT AT THE PROPOSED LOCATION, AND ANY SPECIFIC INFORMATION AS REQUIRED BY THE SAN FRANCISCO MUNICIPAL CODE OR
STATE OF CALIFORNIA CODES, WHO? WHAT? WHERE? WHY? WHEN? HOW?)
HAVE YOU EVER HAD A POLICE PERMIT? □ YES □ NO IF YES, LOCATION PERMIT USED
TYPE OF PERMIT DATES PERMIT USED LOCATION PERMIT USED
DECLARATION
I, ________________________________
, declare under penalty of perjury that the foregoing is true and correct, executed at San Francisco, California, I
understand that any false or incomplete information provided by me relative to this application may be considered cause to either deny the requested permit or
revoke the permit that is granted.
_______________________________________
_________________________________
DATE SIGNATURE OF APPLICANT
