Business License Application Form - Utah Page 2
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If Applicant Is A Corporation/Partnership/Limited Liability, Please Complete This Section.
If Applicant Is A Corporation/Partnership/Limited Liability, Please Complete This Section.
Corporate Name……………...:
Corporate Name……………...:
_______________________________________________________________________
_______________________________________________________________________
_________________________
(1)
(3) _
________________________________
_________________________
Corporate officers/partners/members:
(1)
(3) _
________________________________
Corporate officers/partners/members:
(2)
________________________________
(2)
________________________________
Registered Agent, Address, Phone…..:
Registered Agent, Address, Phone…..:
________________________ ________________________________ (___)________
________________________ ________________________________ (___)________
……………..: _______________________________________________________________________
Corporate Address
……………..: _______________________________________________________________________
Corporate Address
………………….: _______________________________________________________________________
City, State, Zip
………………….: _______________________________________________________________________
City, State, Zip
…………….……………..: (______)_________________
…………….……………..: (______)_________________
Phone 1
Phone 2:
Phone 1
Phone 2:
(______)_________________
(______)_________________
Federal Tax Id# (EIN)………..:
Federal Tax Id# (EIN)………..:
________________________
________________________
PUBLIC SAFETY INFORMATION
PUBLIC SAFETY INFORMATION
EMERGENCY INFORMATION
EMERGENCY INFORMATION
In the event of a police or fire emergency, the information you provide assists us in contacting you after hours. Ideally, the first
In the event of a police or fire emergency, the information you provide assists us in contacting you after hours. Ideally, the first
contact person should be able to respond to the business in a short amount of time and have the necessary keys or alarm codes to
contact person should be able to respond to the business in a short amount of time and have the necessary keys or alarm codes to
enter the building.
enter the building.
st
CONTACT PERSON……...…:
st
CONTACT PERSON……...…:
1
1
(Last, First, Middle)…………….:
_______________________________________________________________________
(Last, First, Middle)…………….:
_______________________________________________________________________
NAME
NAME
Owner
Manager
Employee
POSITION……………………………………:
Owner
Manager
Employee
POSITION……………………………………:
_______________________________________________________________________
ADDRESS, CITY, STATE, ZIP……………
.:
_______________________________________________________________________
ADDRESS, CITY, STATE, ZIP……………
.:
(______)_________________
AFTER HOURS PHONE……………………:
(______)_________________
AFTER HOURS PHONE……………………:
(______)_________________
AFTER HOURS PAGER/CELL…………….:
(______)_________________
AFTER HOURS PAGER/CELL…………….:
2nd CONTACT PERSON……….:
2nd CONTACT PERSON……….:
(Last, First, Middle)…………….:
_______________________________________________________________________
(Last, First, Middle)…………….:
_______________________________________________________________________
NAME
NAME
Owner
Manager
Employee
POSITION……………………………………:
Owner
Manager
Employee
POSITION……………………………………:
_______________________________________________________________________
ADDRESS, CITY, STATE, ZIP……………
.:
_______________________________________________________________________
ADDRESS, CITY, STATE, ZIP……………
.:
(______)_________________
AFTER HOURS PHONE……………………:
(______)_________________
AFTER HOURS PHONE……………………:
(______)_________________
AFTER HOURS PAGER/CELL……………:
(______)_________________
AFTER HOURS PAGER/CELL……………:
ALARM INFORMATION
(If you have an alarm system, you are required to have a permit. By completing the
ALARM INFORMATION
(If you have an alarm system, you are required to have a permit. By completing the
following information, a FREE permit will be mailed to you by Public Safety.)
following information, a FREE permit will be mailed to you by Public Safety.)
Do you have an alarm system?
Yes
No
Do you have an alarm system?
Yes
No
INSTALLER COMPANY……………:
_______________________________________________________________________
INSTALLER COMPANY……………:
_______________________________________________________________________
INSTALLER PHONE………………...:
(______)_________________
INSTALLER PHONE………………...:
(______)_________________
MONITOR COMPANY……………...:
_______________________________________________________________________
MONITOR COMPANY……………...:
_______________________________________________________________________
MONITOR PHONE…………………..:
(______)_________________
MONITOR PHONE…………………..:
(______)_________________
APPLICANT’S AGREEMENT
APPLICANT’S AGREEMENT
I, the undersigned, understand and agree to comply with all regulations of Chapter 12 of the Orem City Code, Licenses and
I, the undersigned, understand and agree to comply with all regulations of Chapter 12 of the Orem City Code, Licenses and
Business Regulations. If my business is a Home Occupation, I also agree to comply with Orem City Code Section 22-14-15-E.
Business Regulations. If my business is a Home Occupation, I also agree to comply with Orem City Code Section 22-14-15-E.
I understand that I shall not begin nor cause to begin business at this location without first obtaining a business license, which
I understand that I shall not begin nor cause to begin business at this location without first obtaining a business license, which
includes passing fire, building, and/or wastewater inspection, if required. All Temporary, Transient, Fireworks Stands, and
includes passing fire, building, and/or wastewater inspection, if required. All Temporary, Transient, Fireworks Stands, and
Christmas Tree Lots are required to pass inspection to have the cash bond refunded. If I have an alarm system, I will comply
Christmas Tree Lots are required to pass inspection to have the cash bond refunded. If I have an alarm system, I will comply
with all alarm provisions of the City ordinance and applicable state laws.
Business License fees are non-refundable.
with all alarm provisions of the City ordinance and applicable state laws.
Business License fees are non-refundable.
Applicant’s Signature
Owner’s Signature
_________________________________________________
Date_______________________
_________________________________________________
Date_______________________
Please Print Your Name _________________________________________________
Please Print Your Name _________________________________________________
It shall be unlawful for any person to engage in business within the City without first obtaining a license for doing so,
It shall be unlawful for any person to engage in business within the City without first obtaining a license for doing so,
and it shall be unlawful to continue in business without maintaining a valid license. (The City of Orem Municipal Code
and it shall be unlawful to continue in business without maintaining a valid license. (The City of Orem Municipal Code
Section 12-2-1)
Section 12-2-1)
It takes approximately two weeks for your license to be issued assuming your place of business passes any required inspections, the application was properly
It takes approximately two weeks for your license to be issued assuming your place of business passes any required inspections, the application was properly
completed, and the business does not require a conditional use permit.
completed, and the business does not require a conditional use permit.
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