Required fields are marked with asterisks (*)

APPLICATION FOR BUSINESS LICENSE

What type of application?

NEW BUSINESS

RENEWAL

TRANSFER

NAME OF COMPANY

TYPE OF BUSINESS

BUSINESS ADDRESS:

TELEPHONE NUMBER:

EMAIL ADDRESS:

APPLICANT IS:

OWNER

AUTHORIZED AGENT OF OWNER

APPLICANT/ PERSON IN CHARGE

OWNERSHIP TYPE

CORPORATION

PARTNERSHIP

SOLE OWNER

OWNER INFORMATION IF DIFFERENT FROM APPLICANT:

Signature and Date:

Clear

THANK YOU FOR YOUR APPLICATION

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