CITY OF LAS VEGAS Fax (702) 382-6642 Print Form
DEPARTMENT OF PLANNING TDD (702) 386-9108
BUSINESS LICENSING DIVISION E-mail us at firstname.lastname@example.org
333 N. Rancho Dr., 6th Floor
Las Vegas, NV 89106
OWNER or MANAGER/KEY EMPLOYEE REQUIREMENTS
I, , am applying as the owner / key employee of
located at . Intended hours of operation are
I will be on the premises at least one-third of the time the business is open which will equate to
hours per day or hours per week.
By checking the above option I acknowledge that I will be available by telephone at all times when the
business is open and may be required to be on site when necessary.
Since I will not be on the premises one-third of the time the business is open, I understand the owner is
required to hire a manager and have that manager submit a key employee application before the
business license is issued.
I acknowledge that I have received a copy of the Las Vegas Municipal Code.
Printed Name Signature
Owner or Manager/Key Employee Requirements - Form PL112 Last Revised 08/01/2012