Temporary Long Term Business License Application

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Category:
DIVISION OF
o Temporary Business - lasting for a period of no more
BUSINESS LICENSING
than 10 consecutive days
290 North 100 West, Logan, Utah 84321
Ph: 435-716-9230 / Fax: 435-716-9001
o Long-Term Business - lasting for a period of no more
than 120 consecutive days
TEMPORARY/ LONG TERM
License No.
___________________________________
BUSINESS LICENSE APPLICATION
Date Received___________________________________
SECTION I: BUSINESS INFORMATION
Business Name:
____________________________________________________________________________________________________________________
“Doing Business As”:_____________________________________________________________________o
Same as “Business Name”
Business Location:
________________________________________________________________________________________ Logan, UT 843____________
Street Address (include unit #)
Mailing Address:
___________________________________________________________________________________________________________________
Street (include unit #) / PO Box Address
City
State
Zip
Bus. Phone 1:
Bus. Phone 2:
Fax:
_________________________________
_________________________________
_______________________________
Website:
Email:
________________________________________________________
___________________________________________________________
Utah State Tax Commission Sales Tax Number:__________________________________________________________________
County, State and/or Federal Regulatory License(s)
(Please include agency name and number.) o Not applicable
.
License 1:_____________________________________________ License 2:____________________________________________
NAICS Code:_________________________________________
SECTION II: BUSINESS DESCRIPTION - GENERAL
GENERAL INFORMATION
BUSINESS TYPE
This business includes:
Yes
No
Type of operation:
Is this a secondary use at this location?
(mark all that apply)
o Itinerant or Transient Merchant
o
o
Constructing a new sign
Separate
o
o
Yes
No
Sign Permit
o Mobile Food Vendor
Permanent Business:
______________________
required
o
o
Changing an existing sign
o Snow Cone Shack
Beginning Date:______________________
o
o
Door-to-door residential solicitation
o Fresh Produce Sales
Ending Date:_________________________
o Fireworks Sales
Use of City right-of-way (ie. sidewalk)
o
o
o Christmas Tree Sales
Live entertainment on-site
o
o
Up to how many employees? (not owners)
o Food Cart
Temporary electrical hookup
o
o
_____Full-time _____Part-time
o Other
:_______________________________
Temporary water hookup
o
o
Total parking stalls:
VIN: ____________________________
Temporary structures
o
o
for the building:________
Photographs of vehicle, trailer, food
Open flame
o
o
designated for your business:________
cart, or structure:
o
o
Yes
No
Hazardous materials use and storage
o
o
Hours of operation:___________________
Land use permission at this location?
o
o
Used merchandise transactions
Days of operation:____________________
(Provide signed form)
o
o
Yes
No
o
o
Changes to existing garbage service
o
o
Proof of insurance
Toilet facility use permission at this
On-site customers?
o Yes o No
Contact Risk Management at 435-
location?
Approximately how many per day?_______
716-9006
(Provide signed form)
o
o
Yes
No
Where will they park?__________________
o
o
Does this business have discharge(s)
that go somewhere other than
Non-Profit?
o
o
Yes
No
directly into the sanitary sewer
Site Map:
o
o
Beneficiary:
Yes
No
system?
_____________________________
Contact Public Works at 435-716-9153.
(Provide 501(c)(3) letter
**This is a two-page application.

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