Docstoc

Business License Application - PDF

Document Sample
Business License Application - PDF Powered By Docstoc
					          AR# ______________                                               TOWN OF PONOKA                                                                           Before your home based business
                                                                    5102 48 Ave, Ponoka, AB T4J 1P7                                                                     application can be processed,
        Call when business license is                                                                                                                              please make an appointment with:
                                                                           Phone 403-783-4431
        ready for pick up?
                                                                    Fax 403-783-6745 or 403-783-0115
               Yes                                                      Email: town@ponoka.org
               No                                                           www.ponoka.org


                                                     Business License Application
   Please check all that apply:                                                    Internet Note:

         New Business working Ponoka
                                                                                           •        Applicant may not proceed with business until business license has been approved and issued.
         Home Based Business in Ponoka                                                     •        Any construction to the business site must have necessary permits before starting construction.
         Home Based Business in Ponoka County                                              •        Some businesses may need to be inspected by a health/food inspector before license can be issued.
                                                                                           •        If business has any changes to the information below, it is up to the business owner/manager to contact
         Home Office only                                                                           the Town of Ponoka with the changes as soon as possible.
         Sales people will go door to door                                                 •        If General Contractor, this application is only good for one job/building.
         General Contractor: Have subcontractors working under this                        •        A drawn plan of your business operation for fire and/or building inspection purposes may be requested.
         business. Please list all subcontractors on reverse.
The personal information on this form is collected under the authority of Section 32 (c) of the Alberta Freedom of Information and Protection Act and/or Section 642 of the Municipal Government Act
and/or Section 39 of the Safety Codes Act. The information will be used to process your application(s) and your name and address may be included on reports that are available to the public. If you have
any questions on the collection and use of this information, please contact the FOIP Coordinator at (403) 783-4431.


                                                                           PLEASE PRINT CLEARLY
  Name
  of Business:_________________________________________________________________________________________________________________

  Mailing Address: ____________________________________________________________________________________________________________
                            c/o                                                            Apt #                                                             Street Address

                       ____________________________________________________________________________________________________________
                                        Town/City                                                          Province                                          Postal Code

  Business Phone # (________ )______________________________________                           Business Fax # (________ )_____________________________________

  Business Head Office Phone (________ )______________________________ Business Head Office Fax # (________ )______________________________

  If business is located in Ponoka County, Land Location: ____________________________________________________________

  email address: ______________________________________________________________________________

  Weblink: _________________________________________________________________________________________________________________________________

  Business Owned By: _______________________________________________________________________________________________________________________

  Business Managed by (if different than owned by:________________________________________________________________________________________________

  Business Category:       Automotive  Restaurant  Retail  Service  Other ______________________________________________________________
  Full Description/Type of Business:_____________________________________________________________________________________________________________

  Expected Business Opening/Start Date: ___________________________________________________________________________________________________


                                                                   If business is located in Ponoka Town limits:
  _________________________________________________________________________________________________________________________________________
    Ponoka Street Address of Business: _______________________________________________________________________________________________________
     If Automotive, does your business do Auto body painting?               Yes  No
     Are you planning to sell products/services from this location?           Yes  No            If yes, what hours/days of operation?_____________________________________

     Number of Employees (proposed): _________________                                             If no, where will you be selling products/services?___________________________

     Is your business by:        Appointment               Walk in                 Other: _______________________________________________________________________

     Other Information (ie. Storage of materials on property, type of vehicle, estimated traffic, auto body painting)

     ______________________________________________________________________________________________________________________________________

    ______________________________________________________________________________________________________________________________________
  Business Managed By (if different from owned by): ________________________________________________________________________
    ______________________________________________________________________________________________________________________________________


  Provincial License #:_____________________________________________                                                   AMVIC #_________________________________________
  (Above required for auctions, cemeteries, cemetery pre-need contract sales or salesperson,                           (AMVIC # required for vehicle sales (retail & wholesale),
  Charitable organizations, collection agencies, co-operatives, crematories, debt                                      body shops, garages, specialty repair shops (eg. transmission
  collectors, direct sellers (door-to-door sellers) electricity marketing, employment                                  repairs) mobile automobile repair, prepaid auto service contracts
  agency, fund-raising businesses, mausoleums, natural gas direct marketers, prepaid                                   consignments sales, leasing.)
  contractors, retail home sales (mobile/modular homes, packaged homes), travel clubs)

                        Please supply any certificates of Provincial Statute, Federal Statute, or Local Health Unit.

         If you do not want your business information (business name, street address and contact #’s only) given out to the public, please check the appropriate boxes.
                                                   Please note: The Town of Ponoka website advertising is a free service.

                                                         No, don’t advertise my business on the Town of Ponoka website.

                                                          No, don’t give out my business information to the public when requested


 X____________________________________________                                                                        __________________________________
                    Signature of Applicant                                                                                                                  Date

                                     Please return this application with your business license fee.
   AR# ______________                            TOWN OF PONOKA                                                       Before your home based business
                                            5102 48 Ave, Ponoka, AB T4J 1P7                                               application can be processed,
  Call when business license is                                                                                      please make an appointment with:
                                                   Phone 403-783-4431
  ready for pick up?
                                            Fax 403-783-6745 or 403-783-0115
       Yes                                      Email: town@ponoka.org
       No                                           www.ponoka.org


                                   Business License Application
                                                      Internet




OFFICE USE ONLY

Business Name: ____________________________________________________________________
Business License Fee $________________ + Development Permit $______________= Total $___________________

 In Town: Service Address: ______________________________
Roll # ______________________                        Zoning:
                Zoning:
                                                          (R1) Low Density Residential                (C1) Central Commercial
Lot ___________________________                           (R1A) Low Density Narrow Lot Residential    (C2) Highway Commercial

                                                          (R1B) Low Density Medium Lot Residential    (M1) Light Industrial
Block __________________________
                                                          (RE) Residential Estate                     (M2) Heavy Industrial

                                                          (R2) Low Density Multi-family Residential   (IPU) Institutional and Public Uses
Plan ____________________________________
                                                          (R3) Medium Density Residential             (P) Park and Recreation

                                                          (R4) High Density Residential               (RX) Residential Expansion

                                                          (MHS) Manufactured Housing subdivision      (CX) Commercial/Industrial Expansion

                                                          (MHP) Manufactured Housing Park             (FP) Flood Plain

                                                          (PUD) Planned Unit Development              (DC) Direct Control



 Ponoka County Land Location: ______________________________________________________

 Out of Town ______________________________________________________________________

 Approved by:
 Director of Engineering & Development _______________________________________ Date:_____________________________

 Comments: _______________________________________________________________________________________________

 _________________________________________________________________________________________________________


 Approved by:
 Fire Inspection Services ___________________________________________________ Date: _____________________________

 Comments: _______________________________________________________________________________________________

 _________________________________________________________________________________________________________


Is Building Inspection needed?  Yes  No
 Approved by:
 Building Inspector _________________________________________________________ Date: ____________________________

 Comments: _______________________________________________________________________________________________

 _________________________________________________________________________________________________________


Is Health Inspection needed?  Yes  No
 Approved by:
 Health Inspector: Faxed on ________________________________ Approved on _________________________________

 Comments: ______________________________________________________________________________________________

 _______________________________________________________________________________________________________




                                                                 Business License #_______________

                                                                 Date Issued:____________________________________

_______________________________________________________
          Business License Clerk
        AR# ______________                              TOWN OF PONOKA                                            Before your home based business
                                                   5102 48 Ave, Ponoka, AB T4J 1P7                                    application can be processed,
      Call when business license is                                                                              please make an appointment with:
                                                          Phone 403-783-4431
      ready for pick up?
                                                   Fax 403-783-6745 or 403-783-0115
           Yes                                         Email: town@ponoka.org
           No                                              www.ponoka.org


                                        Business License Application
                                                              Internet




Business License Applicant: _______________________________________

                          Please list all subcontractor’s covered under your General Contractor business license.
                    Only these subcontractors listed will be covered under your General Contractor’s business license.

Subcontractor Name: __________________________________________________________________________________

Business type: ____________________________________________________________________________________________

Contact: ___________________________________________________________________________________________________

Mailing address_____________________________________________________________________________________________

                 _____________________________________________________________________________________________

Phone # (_________)_________________________________ Fax # (___________)_____________________________________



Subcontractor Name: __________________________________________________________________________________

Business type: ____________________________________________________________________________________________

Contact: ___________________________________________________________________________________________________

Mailing address_____________________________________________________________________________________________

                 _____________________________________________________________________________________________

Phone # (_________)_________________________________ Fax # (___________)_____________________________________


Subcontractor Name: __________________________________________________________________________________

Business type: ____________________________________________________________________________________________

Contact: ___________________________________________________________________________________________________

Mailing address_____________________________________________________________________________________________

                 _____________________________________________________________________________________________

Phone # (_________)_________________________________ Fax # (___________)_____________________________________



Subcontractor Name: __________________________________________________________________________________

Business type: ____________________________________________________________________________________________

Contact: ___________________________________________________________________________________________________

Mailing address_____________________________________________________________________________________________

                 _____________________________________________________________________________________________

Phone # (_________)_________________________________ Fax # (___________)_____________________________________




Subcontractor Name: __________________________________________________________________________________

Business type: ____________________________________________________________________________________________

Contact: ___________________________________________________________________________________________________

Mailing address_____________________________________________________________________________________________

                 _____________________________________________________________________________________________

Phone # (_________)_________________________________ Fax # (___________)_____________________________________
 AR# ______________                                     TOWN OF PONOKA                                                            Before your home based business
                                                  5102 48 Ave, Ponoka, AB T4J 1P7                                                     application can be processed,
Call when business license is                                                                                                    please make an appointment with:
                                                         Phone 403-783-4431
ready for pick up?
                                                  Fax 403-783-6745 or 403-783-0115
     Yes                                              Email: town@ponoka.org
     No                                                   www.ponoka.org


                                     Business License Application
                                                               Internet




                    If there are more subcontractors, please continue list on separate piece of paper and include with this application.

				
DOCUMENT INFO