| City of Cape Girardeau, Missouri | ||
|
401 INDEPENDENCE Application for Business License |
|
| City of Cape Girardeau, Missouri | ||
|
401 INDEPENDENCE Application for Business License |
|
| Name of Business _________________________________________________________ |
| Business Address _________________________________________________________ |
| Mailing Address __________________________________________________________ |
| Will business be operated out of a home? _________ |
| Name of Owner __________________________________________________________ |
| Address ________________________________________________________________ |
| Mailing address (if different from line 2) _________________________________________ |
| Business phone number _____________________________________________________ |
| Managing officer __________________________________________________________ |
| Managing officer's address __________________________________________________ |
| Managing officer's date of birth _______________ Phone number _____________ |
| Managing officer's driver's license ______________________________________________ |
Business bank account
_______________________ Sales tax number _________________ |
| Type of business: (mark all that applies)
Wholesale ________ Retail ___________ Restaurant ______ Hotel/Motel ___________ Other ___________________ Will food be sold? _________ (circle one) Prepared Food | Pre-packaged Will you have pool tables? _______Will you have video games? _______ |
| Brief description of business activity ____________________________________________ |
| If business was purchased, previous name of
business and owner ______________________ _______________________________________________________________________ |
| List any other companies you are affiliated
with ____________________________________ _______________________________________________________________________ |
| In what other city(s) have you operated and
under what name?_________________________ ________________________________________________________________________ |
| Anticipated opening date ____________ If already opened, when?_____________________ |
I hereby give my consent to a pre-license inspection and subsequent annual inspections of the above described premises by the City inspector and to a periodic audit of my financial records by the Finance Department. I also certify that the business will be operated as shown above and that any proposed deviation from the information furnished above will be first reviewed with the Finance Department. I have read the attachment and understand the information.
| Return
Application to: City of Cape Girardeau P.O. Box 617 Cape Girardeau, MO 63702-0617 |
__________________________________ Signature of Applicant Date |
| Type of License _________________________ Date Received _______________ |
| Receipt # _________________ Amount Paid $_________ Date Paid __________ |
