Privilege License Approval Application For A Residential Address - City Of Huntsville
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1CITY OF HUNTSVILLE
PRIVILEGE LICENSE APPROVAL APPLICATION FOR A RESIDENTIAL ADDRESS
FOR OFFICE USE ONLY
CITY OF HUNTSVILLE TAXPAYER I. D. #____ ____ ____ ____ ____ ____
LOC #________
LICENSE INSPECTOR OR CLERK _______________
______ NEW
______OWENERSHIP CHANGE
______LOCATION CHANGE
______ADDITIONAL SCHEDULE NO.
TO WHOM IT MAY CONCERN:
I am applying for a City of Huntsville Privilege License according to Chapter 15 of the City of Huntsville Municipal Code.
TAXPAYER NAME
______________________________________________________________________
(OWNING ENTITY)
BUSINESS TRADE NAME (
DBA) ______________________________________________________________________________________________________
HOME ADDRESS IN HUNTSVILLE___________________________________________________UNIT # ___________
BELOW IS A DETAILED & SPECIFIC DESCRIPTION OF BUSINESS TO BE CONDUCTED AT THIS ADDRESS.
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
1. Square footage used for this business? ____________________
2. Square footage used for residence?
_____________________
3. Will there be any sales consummated at this address Yes No
4. Will there be any product or merchandise stored at this
Yes No
5. Will there be any employees working here or reporting here to go to work elsewhere?
Yes No
NAME OF PERSON TO BE CONTACTED IF ANY QUESTIONS ARISE DURING THE APPROVAL PROCESS.
__________________________
(_____) _____________________
(_____) _____________________
CELL PHONE NUMBER
NAME
DAYTIME TELEPHONE NUMBER
(please print or type)
______________________________________________________________
_________________________________
SIGNATURE
DATE
******************************************************************************************************************************************
DISPOSITION
DEPARTMENT
SIGNATURE OF
RECOMMENDATION
AUTHORIZED REPRESENTATIVE
DATE
APPROVAL/DISAPPROVAL
1. Zoning Admin.
256-564-8008
________________________
______________________________
______________
2. Finance Dept.
256-427-5197
________________________
______________________________
______________
NOTE: Department memorandum should be attached to application for disapproval recommendations and other cases,
where needed for clarification after notifying the above named person (if possible) of the circumstances involved.
*******************************************************************************************************************************************
REMARKS/COMMENTS
F
ORM DATE 10/08/2007
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