Fillable SIGN CONTRACTOR LICENSE APPLICATION Date of License Licensees (City of Coon Rapids)

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SIGN CONTRACTOR LICENSE APPLICATION Date of License Licensees (City of Coon Rapids)

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SIGN CONTRACTOR LICENSE APPLICATION
____________________
Date of License
______________________________________________________________________________
Licensee’s Full Name and Title (Please Print)
____________________________________________
Licensee’s Date of Birth
______________________________________________________________________________
Business Name – DBA
______________________________________________________________________________
Federal Employer Identification Number
______________________________________________________________________________
Address City State Zip Code
________________________________ ____________________________________
Telephone Number Fax Number
_____________________________________________________________
Licensee’s Signature
A COPY OF YOUR STATE OF MINNESOTA SIGN CONTRACTOR BOND OR CITY BOND
ALONG WITH PROOF OF INSURANCE AND $65.00 FEE MUST BE SUBMITTED TO THE
CITY OF COON RAPIDS WITH THIS LICENSE FORM. THE FORM MUST HAVE AN
ORIGINAL SIGNATURE.
City Planner: 763-767-6452 Fax: 763-767-6573
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SIGN CONTRACTOR LICENSE APPLICATION Date of License Licensees (City of Coon Rapids)

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Completed 3 August 2020

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