Phone #
Name
Address
Email
Block
Business Details
Registration Type
Address
Address 2
Alternate Contact Details
Mailing City, State, ZIP
Business Name
Lot
Property Owner Details
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[PPHONE]}
{[AWEBSITE]}
State
Phone #
Last Name
Phone #
Address
Business Owner Details
Name
First Name
City
Email
Email
ZIP
{[PNAME]}
Phone #
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  • Description
  • Billiard
  • Bowling
  • Gas Station
  • Entertainment
  • Taxi
  • Limousine
  • Trailer Park
  • Certification
Business Category (If Other)
Business Category
If Other: Please provide a detailed description of the type of business to be licensed.
Business Description
# of Billiard Tables
Billiards Hall
# of Lanes
Bowling Alley
# of Pumps
Gas Station
Night Club/Entertainment
Please provide a detailed list of the types of entertainment being offered.
Taxi
# of Taxi cab(s)
# of Limousine Vehicle(s)
Limousine
# of Trailer Pads
Trailer Park
Type Full Name :
Sign With Hand
Preferred Payment Method?
Applicant Signature
Fee Schedule
Amount Due
Certification
Attachments
Disclaimer: For Limousine and Taxi Business Types the following documents are required:
1- Proof of Business Liability Insurance must be attached in order to process your application.



Business Type Fee
Pool Table and Billiards Parlor Establishment Fee: $1,312.50

Per Table: $52.50
Junkyard Establishment Fee: $1,312.50
Jewelry Dealer Establishment Fee: $1,312.50
Nightclub/Entertainment Establishment Fee: $1,312.50
Gas Station Establishment Fee: $262.50

Per Pump: $52.50
Taxi Establishment Fee: $262.50

Per Taxi: $52.50
Limousine Establishment Fee: $262.50

Per Vehicle: $52.50
Bowling Alley Establishment Fee: $262.50

Per Lane: $26.25
Trailer Park Per Pad: $150.00