Missoula Business License Application by PermitDocsPrivate

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									                                          CITY OF MISSOULA Commercial BUSINESS LICENSE APPLICATION 2013- 2014
                                                                              Please complete and return with the required fees
                                                     Please remit to: City of Missoula, Attn. Business Licensing, 435 Ryman St, Missoula, MT 59802
                                                               Phone: (406) 552-6121; Fax (406) 327-2182, email: blic@ci.missoula.mt.us



    NEW                 CHANGE                Location            Owner              Name            Other        Business License Number: _________________
                                             (Fees Required)      (Fees Required)                                                                     (office use only)


INDICATE STRUCTURE OF BUSINESS:                                 INDIVIDUAL                                PARTNERSHIP                      CORPORATION / LLC


INDICATE LICENSE APPLYING FOR:                                 OFFICE                      RESTAURANT/FOOD SERVICE                    RETAIL/WHOLESALE


                                                MINIMUM FEE: $130.00                   MAXIMUM FEE: $2,675.00

                                                                      # of Full Time Equivalent (FTE) Employees + Owners ______
FEE: [1-4 full time equivalent employees (FTE) which includes owners = $130.00; each additional employee beyond 4 = $32.50]: _________________

            **ALL FEES ARE NON-REFUNDABLE AND REQUIRED AT TIME OF APPLICATION**
BUSINESS INFORMATION: (PLEASE PRINT CLEARLY)

Business Name:

Business Address (physical)                                                                        Ste            City                         ST             Zip

Mailing Address:                                                                                                  City                         ST             Zip

PHONE NUMBERS:                Business:                                             Cell:                                         Fax:
(Provide 2 current numbers)

Email:


Sublet/Shared Space of:                                                                     Previous use of Building:
                                                                                                   (Required)


Nature of Business:

                                                                                                                  Proposed opening date:

                                                                 BUSINESS OWNER INFORMATION:


CORPORATION/LLC NAME (if applicable):


Owners Name:

   Address:                                                                                                              City                    ST               Zip


Owners Name:

   Address:                                                                                                              City                    ST               Zip


Owners Name:

   Address:                                                                                                              City                    ST               Zip


LOCAL MANAGER NAME:                                                                                                      PHONE:




APPLICANTS SIGNATURE:                                                                                                               DATE:


Please check box to indicate how to contact you when license is issued:             Call           Mail         Email                            Background Check $42.00 each

								
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