Fillable Application Mercantile License (Borough of Lindenwold)

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Application Mercantile License (Borough of Lindenwold)

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Country of origin: US
File type: PDF

U.S.A. forms for Borough of Lindenwold

BROWSE BOROUGH OF LINDENWOLD (NJ) FORMS

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BOROUGH OF LINDENWOLD
15 N. White Horse Pike
Lindenwold, New Jersey 08021
(856) 783-2121
APPLICATION FOR MERCANTILE LICENSE
FOR BOROUGH USE ONLY
License#____________________
Fee _____________________
Date paid___________________
Cash/Check_________________
Receipt #___________________
Name of Business________________________________________________Date Filed______________________
Address of Business_______________________________________________Phone_________________________
Description of Buisness____________________________________________Type of Business________________
Name of Applicant________________________________________________Fed. ID or SS#_________________
Address of Applicant_______________________________________________Phone________________________
Applicant’s Position in Company or Business_________________________________________________________
Is Business a Proprietorship_____________Partnership___________Corp.______________Other_______________
Names and Addresses of Officers__________________________________________________________________
_________________________________________________________________Phone_______________________
**List Name, Address & Phone # to be contacted in case of EMERGENCY**
List Number of Employees____________________
List Number of Other Equipment: (Vending Machines, Juke Boxes, etc)___________________________________
Previous License #________________Date_________________Covered Under Ordinance____________________
Has License Been Suspended or Revoked? Yes__________ No______________
If yes, give reason______________________________________________________________________________
Is Applicant in any way in Default to the Borough of Lindenwold?
Yes____________ No____________
If Yes, State FULL Reason________________________________________________________________________
Is Business in Violation of Zoning Ordinances? Yes________________ No___________________
Zoning Permit #________________
Has Applicant ever been convicted of a Felony? Yes______________ No__________________
If Yes, Give Date and Full Detail___________________________________________________________________
ANY ADDITIONS OR CHANGES TO THE BUSINESS OR VENDING MACHINES, THIS OFFICE MUST BE
NOTIFIED WITHIN 10 DAYS.
FOR BOROUGH USE
RECAP OF EQUIP. & FEES
BASIC__________________
_________ VEND AT $15.00 __________
_________ VIDEO AT $35.00 __________
_________ WASHERS AT $15.00 _______
_________ DRYERS AT $15.00 _________
_________ SEATS AT $1.00 ____________
_________ OTHER ___________________
TOTAL ___________________
______________________________________________________________
Applicant’s Signature
Approved by_______________________________________ Date__________
Borough License Officer
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Application Mercantile License (Borough of Lindenwold)

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Completed 14 July 2020

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