THE CORPORATION OF THE TOWN OF OAKVILLE
1225 Trafalgar Road
Oakville Ontario, L6H 0H3
Telephone: 905-845-6601 Fax: 905-815-6077
2021 APPLICATION TO LICENCE A PERSONAL SERVICES ESTABLISHMENT
FEE: $231.00 (non-refundable, non-transferable, not pro-rated) Renewal Date: August 31 every year
The following must be fully completed and submitted along with all required documents and the applicable
fee. Applications may be submitted as follows:
• By Mail to: Enforcement Services, Town of Oakville, 1225 Trafalgar Road, Oakville, ON L6H 0H3
BUSINESS:
NAME: ____________________________________________________________________________
BUSINESS OWNER: ___________________________________________________________________
ADDRESS: _______________________________ UNIT: _____ CITY/TOWN: _______________________
POSTAL CODE: ___________________ TELEPHONE: _________________________________________
EMAIL ADDRESS: _____________________________________________________________________
CORPORATE NUMBER: ________________________ Sole Proprietor: ______ Partnership: ______
APPLICANT:
NAME: _____________________________________________________________________________
ADDRESS: _________________________________UNIT: _____ CITY/TOWN: ______________________
POSTAL CODE: ____________________ TELEPHONE: _________________________________________
EMAIL ADDRESS:______________________________________________________________________
The following documents must be included with this application.
If a corporation, provide a copy of the incorporating documents and corporate number.
If partnership, provide a list of names, date of birth and address of each partner.
A Zoning Occupancy Certificate obtained from B
uilding Services. Contact zoningrequests@oakville.ca
Certificate of Public Liability Insurance in the amount of two million dollars ($2,000,000). The Town
of Oakville and address must appear on the certificate as either “Additional Insured” or
“Certificate Holder” in order to provide the Town at least ten days’ notice in writing prior to
cancellation, expiration or change of policy.
A Certificate issued by the Medical Officer of Health for the Region of Halton indicating compliance
with all applicable provisions of the Health Protection and Promotion Act and regulations thereto
(long form Personal Service Setting Inspection Report). The Medical Officer of Health may be
contacted at the Region of Halton: (905) 825-6000.
Please be advised:
• Incomplete applications will not be processed.
• It is an offence to operate a business without a licence and charges may be laid without additional
notice.
I hereby declare that I will comply with the provisions of all by-laws pertaining to the
licence for which I am applying.
_______________________________________ ________________________
Signature Date
Note: Personal information on this form is collected under the authority of the Municipal Act and the Town of Oakville Licensing By-law and will be used for
business licensing and regulating. Questions about this collection should be directed to Municipal Enforcement Services, 1225 Trafalgar Road, Oakville,
Ontario, L6H 0H3, telephone, 905-845-6601.
By E-mail to service@oakville.ca. An email with payment instructions will be sent upon review of a
complete application by Enforcement Services
•
AS OF MAY 3, 2021, APPLICATIONS WILL NO LONGER BE ACCEPTED IN PERSON AT OAKVILLE
TOWN HALL. APPLICATIONS MUST BE SUBMITTED VIA EMAIL OR MAIL
For Office Use Only:
Receipt #:____________ Licence #:____________
