For Restaurants Only
Total number of seats Inside Outside Liquor Licence
Trade certiﬁcation # ____________________________________
Registered Massage Therapist (attach certification)
(electrical, plumbing, HVAC, etc.)
Will any building alterations/improvements be done?
If yes, Building Permit number
Will a sign be installed?
If yes, Sign Permit number
Notes and Signature
For an accessory home occupation located within a strata complex, a Strata Consent form must be completed.
I wish to receive occasional business information emails from the Township’s Economic Development Department. Yes No
I hereby apply for a Business Licence and certify that the information provided is correct and agree to comply with all relevant bylaws of
the Township of Langley and where applicable agree to comply with all bylaws and regulations of participating inter-municipal licensing
To learn more about the Business Licence process, refer to the Township of Langley Business Licence Application Process Guide.
Applicant/Owner/Agent signature Date (mm/dd/yyyy)
Applicant/Owner/Agent printed name Applicant/Agent position
Office use only
Annual fee Application received by
Category Sent for approval (mm/dd/yyyy) initials
Description Approval Signature Date (mm/dd/yyyy)
Licence number Business Licence
Permit, Licence and Inspection Services Department | 20338 – 65 Avenue, Langley, BC V2Y 3J1 | t. 604.533.6018 | firstname.lastname@example.org | tol.ca
Any personal information collected on this form will be managed in accordance with the Freedom of Information and Protection of Privacy Act. Direct enquiries,
questions, or concerns regarding the collection, use, disclosure, or safeguarding of personal information associated with this form to: Supervisor, Information,
Privacy, and Records Management, Township of Langley, 20338 – 65 Avenue, Langley, BC V2Y 3J1 email@example.com 604.532.7396