Exporter
Yes No
Importer
Yes No
Manufacturer
Yes No
For Restaurants Only
Total number of seats Inside Outside Liquor Licence
Yes No
2
Certifications
Trade certification # ____________________________________
Registered Massage Therapist (attach certification)
(electrical, plumbing, HVAC, etc.)
3
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
4
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
municipalities.
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
Comments
Health/Community Care
RCMP
Other
CD20-174
Permit, Licence and Inspection Services Department | 20338 – 65 Avenue, Langley, BC V2Y 3J1 | t. 604.533.6018 | buslic@tol.ca | 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 foi@tol.ca 604.532.7396
