APPLICATION FOR BUSINESS LICENSE
THIS FORM WILL BE USED TO CALCULATE AND ASSESS THE AMOUNT OF FEES DUE. A BUSINESS LICENSE CANNOT BE
ISSUED FOR A NEW BUSINESS OR FOR A CHANGE OF LOCATION UNTIL THIS FORM IS REVIEWED BY THE ZONING
DIVISION AND APPROVED AT 723 W. MARKHAM STREET. IF APPLICABLE, THE FIRE DEPARTMENT IS LOCATED AT 624
S. CHESTER, 2
ND
FLOOR. YOU MAY EMAIL THIS APPLICATION TO LRZONING@LITTLEROCK.GOV TO BEGIN THE
APPROVAL PROCESS.
FOR QUESTIONS ABOUT THIS APPLICATION CALL: 501-371-4645 OR 501-371-4438
FOR QUESTIONS ABOUT ZONING LAWS OR SIGN PERMITS CALL: 501-371-4844
TYPE OF APPLICATION:
NEW BUSINESS CHANGE OF OWNERSHIP EXISTING BUSINESS, CHANGE OF ADDRESS
A. NAME OF BUSINESS:__________________________________________________________________________________
B. ACTUAL BUSINESS STARTUP DATE: MONTH _________________ DAY _____________ YEAR ________________
*PLEASE LIST THE DATE THE BUSINESS STARTED OPERATIONS, NOT THE INCORPORATION, CONTRACT, OR SETUP DATE.
NUMBER OF FULL TIME EMPLOYEES ______________
C. PRESENT BUSINESS LOCATION (DO NOT USE A PO BOX)_________________________________________________
CITY: ___________________ STATE ______ ZIP___________ PHONE: __________________ FAX: ________________
*
IF YOUR BUSINESS IS HOME-BASED, YOU MUST ALSO COMPLETE THE HOME OCCUPATION ACCESSORY USE APPLICATION.
D. E-MAIL ADDRESS (REQUIRED):________________________________________________________________________
E. MAILING ADDRESS: __________________________________________________________________________________
CITY: __________________________________________________ STATE ____________________ ZIP_____________
F. PREVIOUS BUSINESS LOCATION: _____________________________________________________________________
CITY:______________________STATE______ZIP___________ PHONE _________________ FAX: _________________
G. BUSINESS OWNER’S NAME: ___________________________________ PHONE: ___________ FAX: __________
HOME ADDRESS: _________________________________ CITY: __________________ STATE: ______ ZIP:_________
DRIVER’S LICENSE NUMBER (REQUIRED): #_________________ DATE OF BIRTH (REQUIRED): _______________
H. GENDER___________________ RACE/ETHNIC GROUP____________________________________________________
I. DESCRIPTION OF BUSINESS: __________________________________________________________________________
DOES YOUR BUSINESS MAINTAIN INVENTORY? _____YES _____NO.
***IF YES, LIST THE AMOUNT OF BEGINNING INVENTORY:________________________________________
DOES YOUR BUSINESS SELL ANY TYPE OF ALCOHOLIC BEVERAGE? ______YES _____NO
***IF YES, WHAT TYPE OF STATE PERMIT _________________________________________________________
DOES YOUR BUSINESS SELL TOBACCO PRODUCTS? ______YES _____NO
J. PROPERTY OWNER’S NAME: ____________________________________ PHONE: _____________ FAX: ___________
K. ARE YOU CURRENTLY INVOLVED WITH OR DO YOU PLAN ANY CONSTRUCTION OR REMODELING AT THIS
LOCATION _____YES _____NO
EXPLAIN:____________________________________________________________________________________________
L. DO YOU STORE OR STOCK FLAMMABLE OR EXPLOSIVE MATERIALS? _____ YES _______NO
***IF
YES, NOTE TYPE & QUANTITIES: _____________________________________________________________
PLEASE NOTE:
1. IF YOU ARE NO LONGER IN BUSINESS, WRITTEN NOTIFICATION MUST BE SUBMITTED TO OUR OFFICE.
2. IF YOUR BUSINESS LOCATION CHANGES, AN APPLICATION FOR CHANGE OF ADDRESS MUST BE APPROVED.
3. CITATIONS WILL BE ISSUED TO BUSINESSES FAILING TO COMPLY WITH THE BUSINESS LICENSE ORDINANCE.
4. A FALSE STATEMENT OR MISREPRESENTATION MAY MAKE THE LICENSE NULL AND CONSTITUTE FORFEITURE OF
ANY FEES PAID
5. IF YOUR BUSINESS SELLS FOOD OR IF YOU’RE IN THE LODGING BUSINESS, YOU MAY BE REQUIRED TO PAY THE
ADVERTISING AND P
ROMOTION TAX: CALL
501-370-3205 TO INQUIRE
SIGNATURE OF OWNER OR RESPONSIBLE PARTY: ___________________________________________DATE: ________________
PRINTED NAME__________________________________________________________________________________________________
FOR ZONING OFFICE USE ONLY: FOR FIRE MARSHALL USE ONLY:
PROPERTY IS ZONED: ____________________________________ APPROVED: _________________________________________
PROPOSED USE IS APPROVED FOR ________________________ DENIED: ____________________________________________
PROPOSED USE IS DENIED BECAUSE ______________________ COMMENTS: ________________________________________
COMMENTS: _____________________________________________ _____________________________________________________
ZONING OFFICIAL________________________________________ FIRE MARSHALL OFFICIAL:
BUILDING OFFICIAL______________________________________ ____________________________________________________
DATE: ___________________________________________________ DATE: ______________________________________________
Treasury Management Division
100 City Hall
500 W Markham
Little Rock, AR 72201
Account #: _________________
Classification: _______________
Amount Due: _______________
HOME OCCUPATION ACCESSORY USE APPLICATION
COMPLETE THIS FORM IN ADDITION TO THE REGULAR APPLICATION IF YOU ARE A HOME BASED BUSINESS
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NOTE:
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HOME OCCUPATION ACCESSORY USE CONDITIONS
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MY RESIDENCE FOR A HOME OCCUPATION.
______________________________________________________________________
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