City Business License Application Form - City Of Unalaska
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1CITY OF UNALASKA
CITY BUSINESS LICENSE APPLICATION
P.O. Box 610
Telephone: 907-581-1251
Unalaska, AK. 99685
Fax: 907-581-1417
dmack@ci.unalaska.ak.us
Business Name:
________________________________________________________________________
Owner(s) Name:
________________________________________________________________________
If Corporation, List Officers 1._________________________________________________________________________
Names:
2._________________________________________________________________________
.__________________________________________________________________
3
Business Main Address:
__________________________________________________________________
Local Agent:
__________________________________________________________________
The custodian of the record or information requested will respond to this request within five city
business days. If the record cannot be located in time to respond within five days of receipt of this
Local Address:
__________________________________________________________________
request, the requesting party will be promptly advised and, if the party still desires the information
or records, a reasonable and diligent search will made for them.
Correspondence To Be Mailed To: Main
Local
Email Address____________________________
__________________
______________________________________________
Date
Signature
Telephone Number:
__________________________________________________________________
…………………………………………………………………………………………………………………………...
ESTIMATE OF TIME TO LOCATE RECORDS:
______HRS @ $________:
______________
Physical Location of Business: _______________________________________________________________
COPIES:
______________
Fees paid? ____yes ______ no
TOTAL
_______________
Is Physical Location Listed Approved for Commercial Use: Yes
No
_____________________________________________________________________________________________
FOR BUSINESS USE ONLY
Type of Business: (Check One) Individual
Partnership
Corporation
Date Request Received: _____________________________
Referred to:__________________________
Describe Your Business Activities:
__________________________________________________________
DISPOSITION:
__________ Copies provided: Date provided__________________: How provided: _____________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Record or information is exempt from disclosure and public access had been denied.
[Cite Code or Statutory reason for denial: _______________________________________
Application is For: Renewal
New
Year: _______________________
Record or information cannot be located and requestor was so notified on the following date:
_______________________________
I declare under penalty of perjury that this application is true and complete.
COMMENTS:_________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
______________________________
______________________________________________
_____________________________________________________________________________________________________________________
Date
Signature & Title
PLEASE REMIT PAYMENT OF $25.00
THE ISSUANCE OF THE CITY OF UNALASKA LICENSE DOES NOT IMPLY ANY EXPERTISE OR
QUALIFICATIONS TO CONDUCT A TRADE OR BUSINESS; NOR DOES IT IMPLY COMPLIANCE WITH ANY
STATE OF ALASKA LICENSING REQUIREMENTS.
CITY CLERK’S OFFICE USE ONLY
APPROVE:
DENY:
License Number Issued By Clerk __________
____________
____________________________
Date
City Clerk
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