Fillable $50.00 per each business per year (All licenses (CITY OF PIEDMONT)

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$50.00 per each business per year (All licenses (CITY OF PIEDMONT)

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City of Piedmont
Business Application
$50.00 per each business per year (All licenses expire on December 31
st
of each year and require renewal)
Required Material
□ $50.00 Fee Received
□ Copy of Valid Driver’s License
□ Copy of State Tax Commission License
□ Copy of State Health Department (If serving food)
Owner’s Name: _____________________________________________________________________________________
Name of Business: __________________________________________________________________________
Physical Addresses
Street: _______________________________________
City: _________________________________________
State: _____________ Zip Code: _______________
Mailing Address (If Different)
Street: _______________________________________
City: _________________________________________
State: _____________ Zip Code: _______________
Business Type: ______________________________________________________________________________________
OK Sales Tax Number: ______________________________ E-Mail Address: ____________________________________
Business Phone Number: _______________________________ Cell Phone Number: _____________________________
Will you be serving alcoholic beverages at your business? ☐ Yes ☐ No
If yes, please complete the Alcoholic Beverages Permit Application.
Will you be growing, selling, or processing marijuana at your business? ☐ Yes ☐ No
If yes, please complete the Commercial Marijuana Establishment Application.
Comments: ________________________________________________________________________________________
Signature: ________________________________________________________________________ Date: ________________________________________
********************************** Office Use Only**************************************
☐
Paid
☐ Unpaid
Receipt #: ______________________
Check #: _______________________
_________________________________________________
Community Development
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$50.00 per each business per year (All licenses (CITY OF PIEDMONT)

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Completed 14 July 2020

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