General Business License Application - City Of Auburn - 2016 Page 2
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1
2BUSINESS OWNER INFORMATION
Driver’s License #:
Name:
Date of Birth:
Address:
City:
State:
Zip:
Phone: (
)
Fax: (
)
Email:
BUSINESS CO-OWNER INFORMATION (IF APPLICABLE)
Driver’s License #:
Name:
Date of Birth:
Address:
City:
State:
Zip:
Phone: (
)
Fax: (
)
Email:
LOCAL EMERGENCY CONTACT INFORMATION
Driver’s License #:
Name:
Date of Birth:
Address:
City:
State:
Zip:
Phone: (
)
Fax: (
)
Email:
Alternate Phone: (
)
Alternate Fax: (
)
Alternate Email:
MAILING INFORMATION (THIS IS WHERE BUSINESS LICENSE RENEWALS WILL BE SENT)
Company Name:
Department/Person:
Address:
City:
State:
Zip:
Phone: (
)
Fax: (
)
Email:
FEES
BUSINESS IMPROVEMENT MAP (BIA) MAP
Business License – Applied at time
$50.00
of application submittal and each
subsequent calendar year
Specialized Licenses – For
Various
businesses that require a
specialized license, an additional
fee will be assessed at the time of
submittal and each subsequent
calendar year
Business Improvement Area (BIA)
Based on
– The BIA fee applies to
Square Feet
businesses located in downtown
of Space
Auburn (see adjacent map). The
fee is based on the square footage
of the business. It is collected by
the City of Auburn and transmitted
to the Auburn Downtown
Association (ADA).
I hereby certify and declare under penalty of perjury under Washington law that the statements furnished by me on this application are true and
complete to the best of my knowledge. I understand that issuance of this license is conditioned upon compliance at all times with all applicable
ordinances, regulations, conditions, and statutes of the City of Auburn and the State of Washington. The issuance of this business license does
not imply compliance with the Zoning Code and International Fire and Building Codes.
__________________________________
________________________________
________________
Name
Signature
Date
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