Form CalRecycle913-CZ2 "Application for Revocation of Convenience Zone Exemption" - California

What Is Form CalRecycle913-CZ2?

This is a legal form that was released by the California Department of Resources Recycling and Recovery - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the California Department of Resources Recycling and Recovery;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form CalRecycle913-CZ2 by clicking the link below or browse more documents and templates provided by the California Department of Resources Recycling and Recovery.

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Download Form CalRecycle913-CZ2 "Application for Revocation of Convenience Zone Exemption" - California

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APPLICATION
CalRecycle 913-CZ2 (Rev. 2/18)
Revocation of Convenience Zone Exemption
CalRecycle • Division of Recycling • Convenience Zone Unit
801 K Street • MS 17-001 • Sacramento, CA 95814-3533
1. Petitioner Information
Petitioner Name
Mailing Address
City
State
Zip
Phone
Name of Company Petitioner Represents (If applicable)
Mailing Address
City
State
Zip
Phone
2. Exempted Zone(s) Proposed to be Revoked
Priority Company Name of Supermarket
Address of Supermarket
1.
2.
3.
Attach additional sheet if necessary
3. Justification for Revocation
Attach additional sheet if necessary
4. Signature of Petitioner:
The applicant declares that all the information submitted for the Division’s consideration is true and accurate to the
best knowledge and belief of the undersigned.
Petitioner Signature
Title
(If Appicable)
Date
State of California
Department of Resources Recycling and Recovery
Clear
Print
APPLICATION
CalRecycle 913-CZ2 (Rev. 2/18)
Revocation of Convenience Zone Exemption
CalRecycle • Division of Recycling • Convenience Zone Unit
801 K Street • MS 17-001 • Sacramento, CA 95814-3533
1. Petitioner Information
Petitioner Name
Mailing Address
City
State
Zip
Phone
Name of Company Petitioner Represents (If applicable)
Mailing Address
City
State
Zip
Phone
2. Exempted Zone(s) Proposed to be Revoked
Priority Company Name of Supermarket
Address of Supermarket
1.
2.
3.
Attach additional sheet if necessary
3. Justification for Revocation
Attach additional sheet if necessary
4. Signature of Petitioner:
The applicant declares that all the information submitted for the Division’s consideration is true and accurate to the
best knowledge and belief of the undersigned.
Petitioner Signature
Title
(If Appicable)
Date
State of California
Department of Resources Recycling and Recovery