BUENA VISTA BUSINESS LICENSE RENEWAL APPLICATION
LICENSE FOR CALENDAR YEAR 2021
VALID FROM APPROVAL DATE TO DECEMBER 31, 2021
B
usiness License Number: _________________
Name of Business:
Owner(s) Name:
Indicate the type of ownership: □ Individual □ Company □ LLC □ Corporation □ Association/Club
□ Other__________________________
Physical Address of Business:
(Street, City, State, Zip)
Mailing address (If different from above):
(Street/P.O. Box, City, State, Zip)
Business Phone: Owner Phone:
Email: _____________________________________________
(Annual Renewal Notices will be sent to this email address)
State Sales Tax Account # (If applicable):
Is this a Home Occupation: □ YES □ NO (Zoning Approval Required Prior to Issue of License)
If yes, number of employees who do not reside in the home:
Indicate type of Business: □ Wholesale □ Retail □ Service □ Non-Profit
□ Other (explain)
Principal Goods or Service Provided:
Website Address:
I declare, under the penalty of perjury, that this application has been examined by me; that the statements
made herein are made in good faith pursuant to applicable tax laws and regulations, and to the best of my
knowledge and belief are true, correct, and complete.
Signature of Applicant: Date:
Title:
The Buena Vista Business License Fee is $30.00 per year. Make check payable to the “Town of Buena
Vista.” This is an annual fee due by January 31, after which there will be an additional $15 late fee.
Thank you.
Please mail completed application and fee to:
Town of Buena Vista
Town Clerk
PO Box 2002
Buena Vista, CO 81211
Questions? Call (719) 581-1017
EMAIL: bvclerk@buenavistaco.gov
IF YOU ARE NO LONGER IN BUSINESS, PLEASE LET US KNOW! CALL THE
TOWN CLERK AT 719-581-1017 OR SEND AN EMAIL TO bvclerk@buenavistaco.gov
Emergency After-Hours Contact for the
Fire/Police Departments
Contact Name
Contact Phone #
