City Of Wheat Ridge, Colorado
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1
2CITY OF WHEAT RIDGE, COLORADO
Application Fee $ 5.00
Business License Application
License Fee
$20.00
7500 W. 29th Ave, Wheat Ridge, CO 80033-8001
Phone (303)235-2820 Fax (303)234-5924
Please Print or Type Neatly: Complete All Portions, License May Be Denied if Application Is Not Prop-
erly Completed. NINE DIGIT ZIP CODE MUST BE INCLUDED ON LINE 4 OF APPLICATION.
1. Business Name:
OFFICE USE ONLY:
2. Business Location:
Commercial Bldg
Industrial Bldg
Other
LICENSE NUMBER
(Only Wheat Ridge home occupation businesses need to complete a-g)
a) Private Residence Y N if yes, will the following occur: b)Retail sales
AREA
GEO
:
c) Office Use Only
d) Storage of Goods
if so, why
e) Mfg of Goods
Explain:
ZONED
f) Employees: Self
Family Members
Other
g) Location of Business: House
APPROVED
Garage
Other
3. Number of Locations in Wheat Ridge:
(File separately each location)
4. Mailing Address:
DATE
5. Business Phone: (
)
Emergency Phone:(
)
E-mail:
Fax: (
)
NOTES:
Web Site:
6. Nature of Business:
Date business started in Wheat Ridge:
Wholesale
Service
8. Type of Application: Retail
9. LOCAL ONLY- Number of Employees Including Self (Mandatory):
Corporate Name:
Corporate Address:
Corporate Officer:
10.Type of Ownership: Sole
Partnership
Corporation
Association/Club
Other
11.Tax Reporting Status: Monthly
Quarterly
Annual
I declare under penalty of perjury, that statements made on this application are made in good faith pursuant to the
Wheat Ridge Code of Laws and regulations, and to the best of my knowledge and belief are true, correct & com-
plete.
AUTHORIZED SIGNATURE: ____________________________________ DATE: _______________
TITLE: ________________________________
PAGE 2 MUST BE COMPLETED
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