Transmitting Data,Please Wait...!
Add Business Partner
Pay Now
Renewed
Not Renewed
New
Renewal
Individual
Partnership
Corporation
LLC
Other
Yes
No
Type Full Name :
Sign With Hand
Clear
Done
Phone #
Same as Owner?
Email
Last Name
Attach the documents below (If Applicable):
Plans Detailing all dispenser locations.
Consent of the owner.
Premise Details
Registration Type
If Other, Please specify
Address
State
Address 2
Ownership Type
# of dispensers for pumping of diesel fuel/oil
If granted this permit I shall adhere strictly to the provisions of Chapter 316 of the Municipal Code, pertaining to the storage and sale of gasoline, diesel fuel and oil.
Email
Applicant Details
City
Business Name
ZIP
The Fee for this application is:
State
State
Total Ownership %
Federal ID #
Phone #
Fee Schedule
First Name
Last Name
ZIP
Additional Owner Details
Address
Certification
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
Attachments
Applicant Signature
Address
Owner Details
Phone #
# of dispensers for pumping of gasoline
First Name
City
City
ZIP
{[PNAME]}
Application
Begin your search by typing the premise address number and part of the street name at which dispensers will be located.
Yes
No
Additional Owner Details
City
SSN #
Has the person listed above ever been convicted of a crime?
Name
ZIP
% Owned
Phone #
Email
Address
State
Save
Cancel
Print Application
Your application has been submitted successfully.
Reference Number:
Date Submitted:
Business Name:
Application Fee:
Confirmation email sent to:
Cancel
Find My License
Premise Address
To locate last year's {[PNAME]} application, provide at least 2 of the following information.
Once you are finished, press Find My License, from there, you can update any information for the renewal application.
Business Name
Owner Last Name
Renew your Application
Owner Email