BUSINESS 
BUSINESS 

PHONES	

NUMBER OF EMPLOYEES 
SALES TAX LICENSE NO. 
Type of occupancy:	
Change in Use?	

Inspection Required	

Inspection Date & Initial 
Sign Application?	

Approval Date & Initial	
Date Paid 	Amount $ 
Staff signature 

No

TOWN OF IGNACIO
2010 BUSINESS LICENSE APPLICATION

DATE

,2010

Business License No.

-

-2010

(Office Use Only)

NOTE: All business licenses expire December 31st

All Businesses must have a physical address in

town limits. Any other businesses must have a Service Business or Vendor’s License.
NAMEOF

TYPE OF

FOOD ESTABLISHMENTS must attach a current Colorado Retail Food Service License.

NAMEOF

APPLICANT

BUSINESS

ADDRESS

MAILING

ADDRESS

(Work)

(Cell)

(Fax)

RETAIL SALES TAX ( )YES

( )NO

License Fee: $30. 00 for two or less employees. $5. 00 for each additional full time employee.
2 part timers = 1 full timer. Do not include Owners

For Staff Only:

YES

NO

YES

NO

Yes

Make checks payable to: TOWN OF IGNACIO

*All Business License Applications must go to the Planning Dept. before issuance.

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SIGNATURE OF BUSINESS OWNER

0:/ficencing/business201 0