City
Block
Property Leased From
Address 2
Business Location
Property Owned/Leased
Address 2
ZIP
State
Vacancy Date
Current Property Status
City
Lot
Business Address is Mailing Address
Business Mailing Address Information
ZIP
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Address
State
Address
Zone
# of Stories
Approximate Sqft
Business Registration/Zoning Permit
Search for the business address and select it from the drop-down.
  • Business Information
  • Contacts
  • Attachments and Certifications
Phone #
# of Part Time Employees
If yes, give details
Start Month
State ID #
SSN #
Registration Type
Are you also applying for a new sign permit?
Start Year
# of Full Time Employees
If yes, give details
Business Name
Business Information
Are any hazardous substances used or stored on premises?
Federal ID #
Category
Has the business received site plan approval?
Has the property been the subject of zoning variance?
Phone # 2
Business ID Confirmation
Trade Name
Describe the Nature of the Business, including types of products to be sold, services provided, or activities to be conducted.
Days and Hours of Operation
Email
If other, state the business category
Website URL
Last Name
City
Email
Email
First Name
Applicant is Business Owner?
State
Phone #
State
Address
Email
Applicant Address is Mailing Address?
First Name
ZIP
Address
Cell Phone #
Address
Last Name
Business Owner Address is Mailing Address?
Emergency Contact Information
State
ZIP
City
Phone #
Last Name
Applicant Mailing Address Information
First Name
Email
Last Name
State
Cell Phone #
Mailing Address Information
Business Owner Information
City
Ownership Type
First Name
City
Owner Title
Applicant Information
Address
ZIP
ZIP
Title
Type Full Name :
Sign With Hand
I, the applicant, hereby certify that the information supplied herein is true and correct. I further certify that the business for which this application is being submitted complies with all applicable statues and regulations and all applicable ordinances. I understand that violation of any applicable statute, regulation, or ordinance may be grounds for revocation of the Business License for which this application is submitted. I further understand that if any information I have provided in this application is willfully false or misleading, I may be subject to denial of this application or revocation of the License for which this application is submitted.

Please attach the following in order to process your application:

  • Building Drawings (If Applicable)
  • Business Insurance Certificate (Required)
  • Sign Permit (If Required)
Amount Due
Fee Schedule
Certification
Attachments
Applicant Signature
Fee Details Fee
Application Fee $50
Business License Fee (To be Paid when your application is approved) $50