Application For Sales Tax/use Tax Form - 1999 Page 3

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CITY OF GREELEY, COLORADO
SALES TAX LICENSE / ZONING REVIEW / OCCUPANCY CERTIFICATE
CHECK-OFF LIST
A) TO BE COMPLETED BY APPLICANT:
APPLICANT________________________________ DATE____________________________
LOCATION (not PO box)________________________________________________________
SAME AS RESIDENCE?__________YES __________NO
PHONE NO____________________ BUSINESS NAME_______________________________
TYPE OF BUSINESS
PLEASE CHECK CORRECT ONE AND BRIEFLY DESCRIBE ACTIVITY
SALES__________ SALES & SERVICE__________ SERVICE __________
MANUFACTURING__________ OTHER__________
ACTIVITY:___________________________________________________________________
____________________________________________________________________________
B) TO BE COMPLETED AND SIGNED BY COMMUNITY DEVELOPMENT DEPARTMENT
th
Community Development 1100 10
Street, Greeley, CO 80631 Phone: (970) 350-9780 Fax: (970) 350-9800
ZONING_____________________________ USE BY RIGHT___________________________
LAWFUL NON-CONFORMING___________________________________________________
HOME OCCUPATION__________________________________________________________
MEETS HOME OCCUPATION REQUIREMENT_____________________________________
OTHER_____________________________________________________________________
COMMENTS:_________________________________________________________________
SIGNED__________________________________ DATE_____________________________
C) TO BE COMPLETED AND SIGNED BY INSPECTION DIVISION
th
Building Inspection 1100 10
Street, Suite 114, Greeley, CO 80631 Phone: (970) 350-9830 Fax: (970) 350-9844
CERTIFICATE ISSUED______________________ DATE_____________________________
OCCUPANCY CERTIFICATE NOT REQUIRED OR PREVIOUSLY ISSUED_______________
SIGNED__________________________________ DATE_____________________________
Rev 3/99

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