CITY OF SPRINGFIELD, MISSOURI
BUSINESS/OCCUPATIONAL LICENSE APPLICATION
Application is for new businesses only. If you need to renew a license, please contact the License Division.
Send completed applications to:
City of Springfield, License Division, PO Box 8368, Springfield MO 65801-8368
Contact us: 417-864-1617
A. BUSINESS INFORMATION
Business Name: ________________________________________________________________________________________________
Mailing Address: ________________________________________________________________________________________________
________________________________________________________________________________________________
Local Business Phone: ________________________________________________________________________________________________
Business Address: ________________________________________________________________________________________________
________________________________________________________________________________________________
Category: ________________________________________ (OFFICE USE ONLY)
B. OWNERSHIP TYPE (Check the appropriate box): 1.Sole Proprietor 2.Partnership 3.Limited Partnership 4.Limited Liability Company
5.Corporation: _________________________________________________ ____________________________________________ _______________
Corporation/LLC Name Corporation/LLC Address Corporation/LLC Phone
C. OWNERSHIP INFORMATION: If ownership is sole proprietor, complete line 1 including home adders and home phone. If a partnership or a limited partnership, list all
partners, their home addresses and home phones. If a corporation or limited liability company, list principal officers or members, their home addresses, home phones, and driver’s
license numbers. Attach an additional page if needed.
1.________________________________________________ __________________________________________ _________________
Name & Title Home Phone Home Address
2.________________________________________________ __________________________________________ _________________
Name & Title Home Phone Home Address
3.________________________________________________ __________________________________________ _________________
Name & Title Home Phone Home Address
D. MISSOURI RETAIL SALES TAX NUMBER: _________________________________________________________ Please scan and attach a copy
Enter name here: _________________________________________________________________ Date: ___________________________
ATTENTION: By entering my name on the line below, I certify that the information contained in this application is correct. I understand that a license
category will be assigned to be after the application is reviewed. I also understand that I will be contacted regarding the license fee and may be asked to
provide additional information related to the calculation of the license fee.
E. BUSINESS DESCRIPTION: Please provide a detailed description of the proposed business activity, including information about services
and/or products offered.
_______________________________________________________ Date: _________________________ Fee Paid: ______________
OFFICE USE ONLY BELOW THIS LINE:
Licensing Personnel: Please attach fee calculation worksheet to this application
Licensing Personnel
After completing the application,
save a copy to your computer,
then click UPLOAD to access
the upload link.
UPLOAD
CITY OF SPRINGFIELD, MISSOURI
HOME OCCUPATION (HOME-BASED BUSINESS)
QUESTIONNAIRE
HOME Occupation Questionnaire REV 4/2019
BUS LIC/Permit #: __________________________
Date: ___________________
LIC Personnel: _______________________________________
Business Name:
_____________________________________________________
Business Type: _______________________________________
Business Phone: _____________________________________________
E-Mail: _____________________________________________________
Is this business operating at this location now?
Yes
No
If yes, what date did it start? ________________________________________
Type of license requested: _____________________________________
Last type of use at this location: __________________________________
(be specific as to type of services rendered, product sold, delivered, made): _________________________________________
1.
Is the address listed as yo
ur primary residence? Yes No
2.
Will the function of the home occupation take more than 20% of the total floor area of the home and garage?
Yes
No
3.
Will you sell products in conjunction with your business?
Yes
No
If yes, answer the following:
Are products sold through mail order only?
Yes
No
If no, please explain: ____________________________________________
Will products be made in the home?
Yes
No
Do you use a kiln larger than six (6) cubic feet?
Yes
No
Are the products arts, crafts, or ceramics?
Yes
No
Does the product require millwork, finishing, or refinishing?
Yes
No
4.
Will merchandise be stored on site?
Yes
No
If yes, please specify the length of time products are expected to sit on site: ________
___________________________________________________________________________________________________________________
5.
Will equipment be stored on site?
Yes No
If yes, list equipment: ______________________________________________________
___________________________________________________________________________________________________________________
Does the storage location require one of your cars to regularly park on the street?
Yes
No
Will equipment be stored in the house?
Yes No
If no, please explain: ____________________________________________
6.
Will customers or clients visit the site?
Yes
No
If yes, how many ________________ and how frequently _____________________
7.
Will employees, other than residents of the home, work on site?
Yes
No
8.
Will a vehicle used in the operation of the business be stored at your residence?
Yes
No
If yes, answer the following:
Is the vehicle your personal vehicle?
Yes
No
Is there advertising on the vehicle?
Yes
No
Is the vehicle gross weight more than 19,500lbs or any single unit more than one drive axle?
Yes
No
Signature of Applicant: _____________________________________________________
Date: _________________________________________
Planning Personnel: ____________________ Date: _______________ BDS Personnel: ____________________ Date: _______________
Comments: ____________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
Planning and Development
1.
Proposed location is zoned: _________________________________
2.
For Residential Zones, the use is:
Approved
Denied
Approved (for mailing address & phone use and must be stated on business license)
Building Development Services
1.
Approved
Denied
2.
Plans, Construction Permits, New Certificate of Occupancy
may be required. Please contact the project facilitator for additional
information at 417-864-1079 or iusukumah@springfieldmo.gov
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