COMMERCIAL BUSINESS LOCATIONS
ALL BUSINESSES WITH THEIR BUSINESS ADDRESS IN A COMMERICALLY ZONED AREA
WITHIN MESA MUST COMPLETE THIS FORM. IF YOUR BUSINESS LOCATION IS IN A
RESIDENTIAL AREA WITHIN MESA COMPLETE THE RESIDENTIAL BUSINESS LOCATION
FORM.
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Business Name: ____________________________________________________________
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Business Address: __________________________________________________________
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Do customers physically come to the business location? Yes
No
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Is there delivery and/or storage of materials, equipment or supplies at the physical business
location? Yes
No
If yes, please explain.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
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What type of business activity or work is performed at the business location?
___________________________________________________________________________
___________________________________________________________________________
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Approval of this application is for the limited purpose of granting the applicant a Privilege (Sales) and
Use Tax License to conduct taxable business activities within the City of Mesa. The granting of a
Privilege (Sales) and Use Tax License shall not be construed as an express or implied certification
that the premises upon which the applicant wishes to conduct business activities within the City of
Mesa conforms to applicable City codes. The applicant agrees to comply with all City of Mesa codes
and ordinances with respect to the above named business.
Contact Building Safety to address any code requirements regarding your business location. They
are located at 55 N. Center Street or can be reached by phone at (480) 644-4273.
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Signature of Owner, Partner or Officer