SYRACUSE CITY BUSINESS LICENSE APPLICATION
OFFICE USE ONLY
License #
Syracuse City Community & Economic Development 1979 W 1900 S, Syracuse UT 84075
801-825-1477 website: www.syracuseut.com
Business Type
□ Commercial
□
Home Occupation
□ Sole Proprietor
□ Corporation
□ Partnership
□ LLC
□ Non-Profit
Driver License:
Driver License:
Owner Phone (other than business):
City: State: Zip Code:
State: SSN: Years lived in Utah:
Are you the property owner? Yes___ no___
Owner Phone (other than business):
City: State: Zip Code:
State: SSN: _ Years lived in Utah:
Owner Name:
Owner address:
Birth Date:
Email:
Additional Owner Name:
Owner address:
Birth Date:
Email: Are you the property owner? Yes___ No___ (please attach additional sheet if more owners)
This form is an application for a business license. The actual license will be issued only after this business is in compliance with all City, State, Federal, fire and building codes
and ordinances and all inspections are completed and approvals given. Missing or incomplete information on this application may significantly increase the time needed for
approval. This application will expire six months after the filing date if all inspections have not been completed and approvals granted. Operating without a Business License
is a Class B Misdemeanor, with each day of noncompliance constituting a separate violation.
I, the undersigned, hereby agree to conduct said Business strictly in accordance with all Syracuse City Codes governing such business and swear, under penalty of law, that
the information contained herein is true and correct to the best of my knowledge, I understand that to falsify any information on this application is grounds for denial and/or
revocation of an applicable license and issuance of any other penalties as provided by law. I acknowledge my responsibility to renew my Syracuse City Business License and
pay any and all late fees, if applied.
Applicant Signature:_________________________________________ Date: ____________________________________________
FOR OFFICE USE ONLY
Business License Fee: $ _________ Date Paid: _____________ By ___________________
Business License fees are found in the City Consolidated Fee Schedule on the City website. www.syracuseut.com
ZONE: PARCEL ID:
CUP Type: Major ____ Minor ____
Conditional Use Permit required? Yes ___ No ___ Permit Fee $ ________ Date Paid: ____________
Planning Dept:
Fire Dept:
Building Dept:
State Entity # __________________ Sales Tax ID # ___________ - ______- STC EIN/Federal ID # ___- ________
___________________________________________________________________________________________
___________________________________________________________________________________________
After Hours Contact Name: _______________________ After Hours Emergency Number: _________________
Any business information provided to the City becomes property of Syracuse City and is public record
Comments:
Departmental Review
Name of Business:_______________________________ DBA:_______________________________
_
Is your business registered with the Department of Commerce? Yes __ No __
Currently Active? Yes __ No __
If No, please register at www.business.utah.gov/registration
Consent to list your Business in the Syracuse City Business Directory? Yes___ No___ Would you like to be featured as Business of the Month? Yes___ No___
Exempt
□
State Professional License or DOPL # ____________ - _____ Website/Facebook:__________________________
Business Address: _______________________________________ Business Phone:_______________________
Mailing Address if different:_________________________ City:____________ State:__________ Zip:________
Desired date of opening:________________________ Number of employees other than self____________
Type of business: Sales___ Service___ Office/Professional ___ Contractor ___ Child Care ___ Other ________
If a Commercial business, square footage of building used for Business: ______________________________
Describe operation of your business in detail: (Including description, hours and days of operation, customers, parking, etc)
□
Food Truck
Approved: ____ Denied: ____
Date: _____________
Zoning Review: ____
