Form Center

2. Business License Application Form - Renewal
4. Instructions

   1. Complete the Renewal Application Form. 

   2. Submit electronically. You may print a copy for your records.

   3. You will be redirected automatically to the Licensing Payment Portal.

   4. Enter your License Type, License Number, Renewal Number exactly as it appears on your renewal notice.

   5. Submit electronic payment.

8. Business Information *

   Provide local business & corporate information

   1. Incorporated- Secretary of State
   2. Sole Proprietor- County
9. Corporate Name/ Sole Propietor*
10. Assumed Business Name/DBA*
12. Business License Renewal No.*
    This number is provided to you in your renewal form.
13. Business License No.*
    This number is provided to you in your renewal form.
14. IBT No./Retailer's Occupational Tax No. *
15. FEIN Number*
19. Do you own or lease the facility in which your business is located?*

    1. Own
    2. Lease
21. Upload a Copy of the Lease or Proof of Ownership*
23. Area of Business in Square Feet*
25. Type of Establishment*

    1. Food Establishment
    2. Service Establishment
    3. Retail and Wholesale Sales
    4. Multiple
27. Percent Food Establishment
    -- Select One --0%10%20%30%40%50%60%70%80%90%100%
28. Percent Service Establishment
    -- Select One --0%10%20%30%40%50%60%70%80%90%100%
29. Percent Retail and Wholesale Sales
    -- Select One --0%10%20%30%40%50%60%70%80%90%100%
31. Business Activity - Select one or more of the following activities associated with your business.*

    1. Circus (no mechanical rides)
    2. Carnival (includes mechanical rides)
    3. Live Entertainment
    4. Animal Exhibition
    5. Billiards / Pool Tables
    6. Vendor - Nonpermanent Location
    7. Tobacco and/or Alternative Nicotine Product Sales
    8. Fuel Service Station
    9. Taxicab
    10. Automobile Sales
    11. Cannabis / Drugs - Items designed for or marketed for use with
    12. Vending Machines
    13. Amusement Devices
    14. Automatic Music Devices
    15. Public Dance
    16. Dealers of Secondhand Items

    1. Food Delivery Vehicles
    2. Food of Beverage Vending Vehicles
    3. Dry Cleaning Machines
    4. Theaters
    5. Bus Services
    6. Solicitors
    7. Coin-Operated Amusement
    8. Horse Stable
    9. Sidewalk Sale
    10. Rabbitry
    11. Tent Sales
    12. Hobby Kennels
    13. Massage
    14. Private Outdoor Pay Telephone
    15. Hotels and Motels
    16. NO ADDITIONAL ACTIVITIES
33. Circus - Start/End
    Circus - Start/End Start Date

    —

    Circus - Start/End End Date
34. Carnival Start/End
    Carnival Start/End Start Date

    —

    Carnival Start/End End Date
35. Animal Exhibition Start/End
    Animal Exhibition Start/End Start Date

    —

    Animal Exhibition Start/End End Date
36. Billiards - Number of Tables
38. Vendor Start/End
    Vendor Start/End Start Date

    —

    Vendor Start/End End Date
39. Fuel - Number of Hoses
40. Taxicab - Number of Cabs
41. Vending Machine - Type
    -- Select One --CigaretteFoodBoth
43. Number of Cigarette Machines
44. Number of Food Machines
45. Public Dance Start/End
    Public Dance Start/End Start Date

    —

    Public Dance Start/End End Date
46. Dealer - Type
    -- Select One --ItinerantDealer and/or PawnbrokerLimited Sales Dealer
48. Itinerant Dealer Start/Stop
    Itinerant Dealer Start/Stop Start Date

    —

    Itinerant Dealer Start/Stop End Date
49. Food Delivery - Number of Vehicles
50. Food Vendor - Number of Vehicles
51. Dry Cleaning - Number of Machines
53. Theater Number of Seats
    -- Select One --1 to 600 seats601 to 1,000 seatsOver 1,000 seatsDrive-In Theater
54. Bus Service - Number of Buses
55. Solicitors - Number of Solicitors
56. Coin-Operated Devices/Centers
    -- Select One --Coin-Operated Amusement DeviceCoin-Operated Amusement CenterCoin-Operated Amusement Center-Restaurant
58. Coin-Operated Devices - Number of Machines
59. Sale - Duration
    Sale - Duration Start Date

    —

    Sale - Duration End Date
60. Rabbitry - Location
    -- Select One --Inside a DwellingInside an Accessory Structure
61. Pay Phone - Number of Phones
63. Hotel/Motel - Number of Rooms
64. Hotel/Model - Total Area of all Rooms in Square Feet
65. I certify that my business does not contain any additional activities
    -- Select One --Yes - I have read the full list
67. Provide a full description of your business and all related activities. Be specific! Insufficient answers may delay your registration*
69. Total Number of Employees*
70. Total Number of Parking Spaces*
71. Hazardous Material Storage?*

    1. Yes
    2. No
73. Attach a list of all hazardous materials stored on site
74. Type of Food Service

    1. Pre-Packaged Foods
    2. Beverages
    3. Counter Service

    1. Sit-Down Dining
    2. Food Packaging or Processing
76. Days of Operation

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
    8. By Appointment Only
78. Sunday Open
    Sunday Open
79. Sunday Close
    Sunday Close
80. Monday Open
    Monday Open
81. Monday Close
    Monday Close
83. Tuesday Open
    Tuesday Open
84. Tuesday Close
    Tuesday Close
85. Wednesday Open
    Wednesday Open
86. Wednesday Close
    Wednesday Close
88. Thursday Open
    Thursday Open
89. Thursday Close
    Thursday Close
90. Friday Open
    Friday Open
91. Friday Close
    Friday Close
93. Saturday Open
    Saturday Open
94. Saturday Close
    Saturday Close
98. Preffered Mailing Address*

    1. Business Address
    2. Corporate Address
100. Business Address*
101. Phone Number *
103. City*
104. State*
105. Zip Code*
107. Corporate Address
108. Phone Number
110. City
111. State
112. Zip Code
116. Ownership – Principals, Sole Owners, Shareholders, Partners, etc.
     If you have additional, please attach the listing.
118. 1. Business Owner*
119. Email Address*
121. Address*
123. City*
124. State*
125. Zip Code*
127. Phone Number*
128. Cell Number*
130. 2. Business Owner
131. Email Address
133. Address
135. City
136. State
137. Zip Code
139. Phone Number
140. Cell Number
144. Key Holders/Emergency Contacts
     A minimum of (2) two contacts are required. Do NOT provide ownership info. as listed above.
146. 1. Key Holder*
     Cannot be owner information. Please provide alternative contacts.
147. Title*
148. Cell Phone Number*
150. 2. Key Holder*
     Cannot be owner information. Please provide alternative contacts.
151. Title*
152. Cell Phone Number*
156. Property Ownership
     Building Owner
158. Building Owner*
159. Email Address
161. Address
163. City
164. State
165. Zip Code
167. Phone Number*
168. Cell Number
170. Execute*

     1. I agree

     By selecting I agree option below you are giving your electronic signature.
171. No False statements
     Your submission of this form certifies that the information provided is true and correct.
173. First Name*
     Information for individual completing this form.
174. Title*
176. Phone Number*
177. Email Address*
Leave This Blank:


179. 1. Receive an email copy of this form.
180. Email address

     This field is not part of the form submission.

181. Submit Submit and Print

* indicates a required field