Fillable 8.28.19 Bl Exempt App Munis

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8.28.19 Bl Exempt App Munis

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NEW OWNERSHIP CHANGE NAME /ADDRESS CHANGE
Organization Name Organization Mailing Address (if different)
DBA Name (if different) City, State, Zip
Organization Site Address Organization Phone
City, State, Zip Organization Email
Organization Contact Name Organization Contact Name
Organization Phone and Contact Relation to Organization
Organization Phone and Contact Relation to Organization
If not owner of property (Forest Grove locations only), Property Owner or Management Company and Phone
● City Code Title XI: Chap 110: 110.004 lists the following activities as exempt from obtaining a business license, but must still submit the location,
purpose and contact information: 1) Churches and governmental agencies including public schools; 2) Civic leagues or civic organizations
operating exclusively for promotion of social welfare; 3) Independent contractors associated with a like business in the same location under the
same business name as stated on the business' business license; 4) Community events; 5) Any business specifically exempt from payment of a
business license fee under state or federal law or constitution; 6) Any business specifically exempted by Council; 7) Producers of farm products
raised in Oregon, and sold by themselves or immediate families.
Brief Business Description (REQUIRED)/What specific activity are you conducting?
Please do not list your state or federal tax status (ie, 501C) as this alone does not qualify as an exemption
Types of Funding Received by Organization (Check all that apply)
Grant Funding Payment for Goods/Services Other: ______________________________________
Business located within a shopping center?
19th Ave Plaza Ballad Towne Square FG Shopping Center Stonewood Center N/A
Business Category (select only one)
UT Utilities REL Church or Religious Organization
GOVT
Governmental Agency
OTH
Other (describe ): __________________________
SCH Publicly Funded School _________________________________________
§ 111.060 BUSINESS RECYCLING REQUIREMENT
(A) All businesses required to have a city business license, as specified in § 110.025, shall recycle as follows:
(1) Businesses shall source separate from the waste stream all paper, cardboard, glass/plastic bottles
or jars, and aluminum/tin cans;
(2) Businesses and business recycling service customers shall provide recycling containers for internal
maintenance or work areas where recyclable materials may be collected, stored, or both; and
CERTIFICATE
APPLICATION FOR CITY EXEMPTION
1924 COUNCIL ST * PO BOX 326 * FOREST GROVE, OR 97116-0326
PH (503) 992-3348 * FAX (503) 992-3199
BL@FORESTGROVE-OR.GOV * WWW.FORESTGROVE-OR.GOV
Business Information
Business Owner and Contact Information
(3) Businesses and business recycling service customers shall post accurate signs where recyclable
materials are collected, stored, or both that identify the materials that the business must source
separate and that provide recycling instructions.
(B) (1) This section does not apply to a business operated from a residence. A RESIDENCE is the place
where a person lives.
(2) A business may seek an exemption from the requirements in division (A) above, if:
(a) The business provides access to the city or designated agent for a site visit; and
(b) The city or designated agent determines during the site visit that the business cannot comply
with the business recycling requirement because of space or economic restrictions or other
extenuating circumstances.
(C) To assist businesses in compliance with this section, the city or designated agent shall:
(1) Notify businesses of the business recycling requirement at the time application is made for a
business license;
(2) Provide businesses with education and technical assistance to assist with meeting the
requirements of this section; and
(3) The city’s business license procedures shall include provisions requiring that the business shall
certify that they have complied with the requirements of this section upon signing the business
license application and the business shall also certify upon renewal of the business license that
they have complied with the requirements of this section.
(D) A business that does not comply with the business recycling requirement may receive a written notice of
noncompliance. The notice shall describe:
(1) The violation;
(2) How the business or business recycling service customer can cure the violation within the time
specified in the notice; and
(3) An offer of assistance with compliance.
(E) A business or business recycling service customer that does not cure the violation within the time specified
in the notice of noncompliance may receive a written citation. The citation shall provide:
(1) An additional opportunity to cure the violation within the time specified on the citation; and
(2) Notification to the business or business recycling service customer that it may be subject to a fine
under the provisions of § 10.99.
(F) A business or business recycling service customer that does not cure the violation within the time specified
in the notice of noncompliance may be subject to a fine. The general penalty of violation is punishable
under the provisions of § 10.99.
(Prior Code, § 7.700) (Ord. 2009-06, passed 5-26-2009)
* For exempt organizations, the Business License fee is waived. However, the organization may be required to produce the IRS Letter or
Determination for verification of status. Issuance of an exemption certificate does not excuse on organization from compliance with applicable
federal, state and municipal laws, including regulations of the City. The undersigned declares, under penalty of law, that the information in this
application is true. A copy of this application may be disclosed to requestors under Oregon's Public Records Law.
Signature of Authorized Agent Printed Name and Title Date
Date received Received by Routed to Director of Admin Srvcs
Office Use Only
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8.28.19 Bl Exempt App Munis

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Completed 12 July 2020

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