Business Licence Application & Development Permit Application For Home Based Business
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1
2City of Yellowknife
Business Licence Application & Development Permit Application for
HOME BASED BUSINESS
Completed applications can be hand delivered to City Hall 4807-52 Street or sent via mail, fax or email (see back of this form)
Business Information
Business Name:
Business Type:
Business Services Offered (Be Specific):
Business use of home (Office, Storage, etc.):
Civic/Street Address:
Legal Description
Lot:
Block:
Plan:
Mailing Address:
Business Email:
Bus. Ph:
Business Website:
Bus. Fax:
Please answer the following questions regarding your business:
YES
NO
Has the business been registered with WSCC?
Will the business operate exclusively from one address?
Is the home under a Condominium Corporation? (If yes, please read "Important Note" on back)
Will there be any staff/employees other than the resident(s) of the home?
Is the business use of the home anything other than office or storage?
Is any variation to the external appearance of the residence required?
Will any commercially-registered vehicles associated with the business be parked
#_____
on the property? If "YES", please specify the # of vehicles in the blank.
Will the business require any vehicle(s) over 4400 kgs? (e.g. cube van, moving truck, etc.)
Will any vehicles associated with the business generate parking or traffic problems?
Will any customers/patrons be in attendance at any time?
If applicable, how many customers/patrons will be in attendance?
If applicable, what type of goods related to the business will you be storing on the property?
If applicable, where will goods and articles associated with the business be stored on the property? (Check all that apply)
Inside the home
Shed
Garage
Outdoors
Other (please specify):
Please list all people who will operate the business:
Hours of operation of business?
The City of Yellowknife has an online Business Directory on its website that can display information about your business.
Please include the following on the Business Directory (check those that apply):
Business Name, Telephone Number and Email address
Business Address
Do not publish information regarding my business on the online Business Directory
How would you like to receive your business licence?
Picked Up
Email PDF
Mail
(Check all that apply)
Primary Business Owner's Contact Information & Acknowledgement
Applicant's Name:
Mailing Address:
Phone #'s
Cell:
Office:
Fax:
Email:
By signing below, I hereby certify that the information above is accurate and true. I acknowledge that submitting false or
misleading information that does not comply with the above may result in my Business Licence and/or Development Permit
being revoked. I acknowledge it is my responsibility to notify the City of Yellowknife immediately in writing of any change in
information provided on this application. Please charge my credit card the appropriate fees for my Home Based Business
Licence Application ($200.00 for Business Licence and, if applicable, $50.00 for Development Permit for a total of $250.00 if a
Development Permit is required).
Credit Card No.:
Exp:
Applicant's Signature:
Property Owners Acknowledgment of Business Operation - Home Based Business
I/We as the owner of
am aware of the
proposed home based business application noted above and hereby give my permission for such business to occur on my property.
Owner's Signature:
Date:
*Declarations of consent can also be emailed to permits@yellowknife.ca if the property owner(s) is/are not available to sign this application (please include
contact phone numbers so that you may be contacted for additional information/verification).
OFFICE USE ONLY
Amount Paid:
Customer ID:
BL #:
Permit #:
BL Approved By:
DP Approved By:
Approval Date:
Approval Date:
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Parent category: Business