Temporary Business License Application Form - City Of Wheat Ridge Page 4
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5CERTIFICATE OF PROPERTY PERMISSION
Permission is hereby granted for:
(temporary business)
To conduct retail sales on the property located at : NW
SW
NE
SE
(corner) of:
(legal address)
Owned By:
(land owners name)
This Certificate of Property Permission must be approved by the City of Wheat Ridge Zoning Department.
Certificate Valid from
to
only for the above location and time stated above.
No more than one use may be granted for any given time period.
Vendor Signature
Address
Date
Land owner Signature
Address
Date
NOTARY PUBLIC:
SEAL:
Sworn before me this__________day of ______________________20____________.
By
Address
My Commission Expires:
Approved By:
Sales Tax Representative
Date
Zoning Department Representative
Date
Notes:
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