Type Full Name :
Sign With Hand
Last Name
Phone #
Name
City
Supervisor Full Name
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.
Address
Email
Block
Email
State ID #

Disclaimer: Please attach the following in order to process your application:

  • Proof of Business Liability Insurance
  • Restaurants must attach their County Board of Health Certificate.
Application Type Fee
New Application $75
Renewal $75
Late Fee $75 in addition to the Application Fee
Business Location
Registration Type
State
Address
Address 2
Email
City, State, ZIP
Address
First Name
Phone #
Name
Business Information
Name
Last Name
City
Lot
Emergency Contact Information
Building Owner Information
Amount Due
State
ZIP
ZIP
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
State
Federal ID #
Phone #
Fee Schedule
Last Name
Phone #
Category
First Name
Phone #
Address
Certification
Phone #
Mailing Address Information
Attachments
Applicant Signature
Business Owner Information
Describe the Nature of the Business, including types of products to be sold, services provided, or activities to be conducted.
First Name
City
Alarm Company Information
Days and Hours of Operation
Email
If other, state the business category
Sqft
Website URL
Address
Email
Is the business non profit?
ZIP
{[PNAME]}
Search for the business address and select it from the drop-down.