Business Licence Application
Application Type
Change of address: (previous address)
Change of owner
Change of mailing address
Other: _____________________________________________
Licence Type
Accessory home occupation
Other: _____________________________________________
Business Information
Business name Trade name (if different from business name)
Business address/location
City Postal code
Mailing address (if different from business address)
Contact name Business location start date
Business phone Business description (be specific)
Alternate phone
Business fax Business email
Business operating hours Incorporation number (Ltd. or Inc. businesses)
Floor area sq ft (attach floor plan*)
*not required for non-resident or home based office use only.
Number of employees Full-time Part-time Seasonal
Account number Licence number IML Licence number
see next
Permit, Licence and Inspection Services Department | 20338 – 65 Avenue, Langley, BC V2Y 3J1 | t. 604.533.6018 | f. 604.533.6182 |
Yes No
Yes No
Yes No
For Restaurants Only
Total number of seats Inside Outside Liquor Licence
Yes No
Trade certification # ____________________________________
Registered Massage Therapist (attach certification)
(electrical, plumbing, HVAC, etc.)
Building Details
Will any building alterations/improvements be done?
Yes No
If yes, Building Permit number
Will a sign be installed?
Yes No
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 Townships 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)
LUC Building
Licence number Business Licence
Zoning Fire
Health/Community Care
Permit, Licence and Inspection Services Department | 20338 – 65 Avenue, Langley, BC V2Y 3J1 | t. 604.533.6018 | |
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 604.532.7396