Form Bl001 - Business License Application
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1
2
3Las Vegas Business License Application
Print Form
333 North Rancho Drive, 6th Floor, Las Vegas, NV 89106
(702) 229-6281 (Voice) - (702) 386-9108 (TDD)
Incomplete or illegible applications will not be accepted
All information on this form is a public record
1
BUSINESS INFORMATION
New Business
Change of Ownership
Change of Location
Change of Name
Change of Corp. Officer
Other
2
Business Legal Name:
3
Corporate Phone:
Sole Proprietor
4
Business Trade Name (dba):
5
Business Phone:
Corp/LLC
Non-Profit
6
Opening Date:
Hours of Operation:
7
Business Fax:
8
Is this a Home Based Business:
9
Mobile Phone:
Yes
No
10
Business Physical Address:
11 Business Mailing Address:
12 Business E-mail:
13 Business Web Site:
14 Type of Business:
15 Describe in detail the business activity and product(s) or services(s) rendered:
16 NV State Business Registration #:
NV Occupational License#:
NV Tax ID #:
NAICS Code(s): (Include all that apply)
No. of Units required (State Licensed Professionals,
Seats, Stations, etc.)
17 Check All That Apply:
Alcohol sale or service
Gaming
Used merchandise sales / trade-in
Alcohol / drug counseling
Pawn
Lodging -
addendum
required
Coin Operated Machine (Number)
Sales
Rentals
Check Cashing
Sexually-oriented materials or activities
Auto Sales
Dance / Entertainment
Tobacco sales
Auto Repairs
FOR CITY OF LAS VEGAS OFFICE USE ONLY
PLANNING:
ADDRESS:
CHECKED/VERIFIED BY:
DATE:
APN:
ZONING:
LAND USE DESIGNATION:
USE CLASSIFICATION and FINDINGS:
Use is Permitted
Accessory Use Only
Other:
Check All That Apply:
Special Use Permit Required
Use is NOT Permitted
Existing Non-Conforming Use
Conditional Use Verification Required
Temporary Commercial Use Permit Required
BUSINESS LICENSE:
APPROVALS:
Planning: By: _______________________________________________________________________________
Date: _________________________________
Fire By: ____________________________________________________________________________________
Date: _________________________________
License Technician: __________________________________________________________________________
Date: _________________________________
Senior License Officer: ________________________________________________________________________
Date: _________________________________
Business License Manager: ____________________________________________________________________
Date: _________________________________
1st Temp: From: _____________ To: _____________ 2nd Temp: From: _____________ To: _____________ 3rd Temp: From: _____________ To: _____________
Business License Application - Form BL001
Revised 04/05/16
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Parent category: Business