Business License Application Form - Utah

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BUSINESS LICENSE APPLICATION
DEVELOPMENT SERVICES  56 North State Street  Orem, UT 84057  Ph. (801) 229-7058
OFFICE USE ONLY
Business License#: ___________________________
SLU Code#: ___________________________
BUSINESS INFORMATION
Business Status
:
New Business
Location Change
Name Change
Ownership Change
(Check all that apply)
State Registration..…………....:
Corporation
Partnership
Limited Liability
Sole-Proprietor
Business Name…………....…...:
___________________________________________________________
___________________________________________________________
If name change, previous name:
Address……..:
Location
_______________________________________________________________________
City, State, Zip:
_______________________________________________________________________
Business Phone………………..:
(______)_________________
Mailing
Address Line 1…:
_______________________________________________________________________
Address Line 2…:
_______________________________________________________________________
City, State, Zip...:
_______________________________________________________________________
E-mail Address………………..:
_______________________________________________________________________
Website Address….…….……..:
_______________________________________________________________________
Would you like a hyperlink to this site from ?
Yes
No
Type of Business………………:
Commercial
Home Occupation--Will people be coming to your home to transact business?
Yes
No
…:
Kind of Business
(if applicable)
Nonprofit
*
Temporary (120 days or less with physical location)
Mobile Vendor (Ice Cream Trucks – Food Trucks etc.)
*
Private Investigator
***
Pawnbroker
*requires either a $300 cash bond or a $3000 surety bond.
**
Christmas Trees
**requires either a $50 cash bond.
**
Fireworks Stand
***requires a $3000 surety bond.
Nature of Business……………:
Day Care/Preschool –Number of children
____
Manufacturing
Retail
Other _____________________________
Wholesale
Services
Briefly Describe Your Business....:
_______________________________________________________________________
_______________________________________________________________________
Does your business sell products?
Yes
No
If yes, what is your state sales tax number?
________________
Does your business have a process discharge to the sewer system?
Yes
No If your business/industry utilizes any water, not including sanitary
(restroom waste), for any purpose and is discharged to Orem City’s sewer system, it my be considered process flow.
Will your business produce, store, or use significant quantities of any toxic, explosive, or dangerous chemicals, liquids, or
materials?
Yes
No
Number of Employees at location.:
(If you are the owner, DO NOT count yourself.)
______________________
If Applicant Is A Sole-Proprietor, Please Complete This Section.
Owner Name………………….:
_______________________________________________________________________
………………..: _______________________________________________________________________
Owner Address..
………………….: _______________________________________________________________________
City, State, Zip
…………….……………..: (______)_________________
….………...: (______)_________________
Phone 1
Phone 2
Date of Birth…………………..:
________________________

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