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
ZONING APPROVAL
QUESTIONNAIRE
Zoning Approval 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)
Yes
No
Yes
No
Yes
No
Retail Sales:
Vehicle salvaging:
Indoor storage only:
Wholesale sales:
Heavy equipment on site:
Outdoor storage:
Mail order only:
Adult materials/books/videos:
Recycling activity:
Product made/manufactured:
Adult entertainment:
Massage:
Office use only:
Storage on site:
Tanning/Spray Tanning:
T
he approval below is valid if, and only as long as, the items checked in the checklist above are accurate. The approval is not a business license or a
building permit. The applicant must acquire any business license or building permit the applicant desires as a separate matter.
NOTE: If any remodel work is planned; such as adding or moving walls, adding lighting or receptacles, adding or moving plumbing fixtures or
specialized equipment such as commercial kitchen equipment, permits from Building Development Services will be require.
S
ignature of Applicant: ___________________________________________________ Date: __________________________________
APPLICANT FILL OUT TO THIS POINT AND RETURN FORM TO: License Division of Finance Department (Busch Municipal Building)
840 Boonville; Springfield, MO 65802
Planning Personnel: ____________________ Date: _______________ BDS Personnel: ____________________ Date: _______________
Comments: ____________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
Planning and Development
1.
Proposed location is zoned: ______________
2.
For all other zones the use is (including legal non-conforming)
Approved
Denied
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
click to sign
signature
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