Privilege License Approval Application For A Commercial Address Form - City Of Huntsville
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1
2CITY OF HUNTSVILLE
PRIVILEGE LICENSE APPROVAL APPLICATION FOR A COMMERCIAL ADDRESS
____________________________________________________________________________________
FOR OFFICE USE ONLY
CITY OF HUNTSVILLE TAXPAYER ID # ___ ___ ___ ___ ___ ___
LOC # ______
LICENSE INSPECTOR OR CLERK ______________
_____ NEW
_____ TRANSFER
_____LOCATION CHANGE
_____ ADDITIONAL SCHEDULE NO.
______________________________________________________________________________________________________________________________
TO WHOM IT MAY CONCERN:
I am applying for a City of Huntsville Privilege License According to Chapter 15 of the City of Huntsville Municipal Code.
TAXPAYER NAME (OWNING ENTITY) _________________________________________________________________
BUSINESS TRADE NAME (DBA) _______________________________________________________________________
ADDRESS IN HUNTSVILLE _______________________________________________
Unit #________________
BELOW IS A DETAILED & SPECIFIC DESCRIPTION OF BUSINESS TO BE CONDUCTED AT THIS ADDRESS .
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Square footage in Building
_______________________
If this is an eating establishment what is the seating capacity
_______________________
Number of parking spaces at this business?
_______________________
NAME OF THE PERSON TO BE CONTACTED IF ANY QUESTIONS ARISE DURING THE APPROVAL PROCESS.
________________________________________
(___) _____________________
(___) _______________________
NAME (please print or type)
DAYTIME PHONE NUMBER
CELL PHONE NUMBER
___________________________________________________
__________________________________________
SIGNATURE
DATE
DISPOSITION
DEPARTMENT
RECOMMENDATION
SIGNATURE OF DIR. OR
DATE
APPROVAL/DISAPPROVAL
AUTHORIZED
REPRESENTATIVE
1. Zoning Adm.
564-8008
__________________________
__________________________
________________
2. Fire Dept.
427-5150
__________________________
__________________________
_______________
3. Health Dept.
533-8726
__________________________
__________________________
________________
4. Finance Dept.
427-5070
__________________________
__________________________
________________
NOTE: Department memorandum should be attached to application for disapproval recommendations and other cases,
where needed for clarification after notifying the above named person (if possible) of the circumstances involved
.
****************************************************************************************************
REMARKS/COMMENTS
FORM DATED 10/08/2007
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Parent category: Business