Renewal Business License Application Form (Page 2 of 2) in pdf

RTS ACCOUNT #

: _____________________

City Official Use Only

K. Local business phone number: ___________________________________

Physical location of your business in Charleston: _________________________________________________________ Zip: ______________

M. Do you own the property in which your business in Charleston is located (if applicable)?

Yes / No

If No, Name of property owner: ________________________________________________________ Phone No.: _______________________

N. Does your business contain vending machines?

Yes / No

If Yes, Name of owner: ________________________________________________________ Phone No.: _______________________

*Privacy Act Statement: Disclosure of a Social Security Number (SSN) to the City of Charleston is voluntary. If you do not wish to disclose your

SSN, you may provide an alternative identification number, The City of Charleston solicits this information pursuant to West Virginia Code § 8-13-

13 and the Charleston City Code. The City of Charleston will not disclose your SSN or any other information you provide to any other entity or party.

The City of Charleston requests this information to facilitate the verification of withholding and payment of service fees

Section III. Authorized Signature of Business: By signing below, I do hereby certify and declare, under penalty of

perjury, that the information furnished in this application is true, complete and accurate to the best of my knowledge.

__________________________________________________________________

_____________________

____________________________________

Signature of Business Owner or Authorized Agent

Date

Title

Business License Renewal Application Instructions:

1. Select the appropriate license(s) for your business in Section I. All businesses with a storefront or a physical location

within the City of Charleston are required to purchase a General Business License. Sales of beer or liquor, or street

vending activities require an additional license. If your business intends to sell beer or liquor, you must attach a copy of

your WV ABCC License. If your business desires to engage in street vending in the downtown central business district,

you must provide Proof of Liability Insurance in the aggregate sum of $500,000, adding the City as an additional insured,

and you must enter into a Hold Harmless Agreement with the City. Please be aware street vending is only permitted in

designated areas. See street vendor rules and regulations and street vendor map for details.

2. Complete Section II in its entirety. If your business intends to sell or serve prepared food, you must attach a copy of

your Kanawha County Health Permit. If your business desires to purchase gold, silver or other precious metals, jewels or

other products, you must comply with the requirements of §18-863 of the Charleston Municipal Code to report your

purchases to the Charleston Police Department. If your business intends to conduct door-to-door sales or engage in home

solicitation, a $3,000 surety bond must be posted for each sales representative.

3. Sign and date the application in Section III.

4. Mail the completed application with your total payment to the address below on or before June 30, 2016. If you have

any questions with respect to your application, please contact the City Collector’s Office at (304) 348-8024.

Return To:

Charleston City Collector’s Office

Attn: Business Licensing

915 Quarrier St., Suite 4

Charleston WV 25301

Page 2 of 2

Revised 5/2017

Renewal Business License Application Form Page 2

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