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www.ci.belgrade.mt.us APPLICATION FOR CITY BUSINESS LICENSE 2022 BUSINESS NAME AND MAILING ADDRESS: NAME OF APPLICANT: PHYSICAL ADDRESS IF DIFFERENT FROM ABOVE: BUSINESS PHONE: HOME PHONE: EMAIL ADDRESS: DESCRIPTION - EXACT NATURE OF BUSINESS: OPERATING HOURS: NO. OF EMPLOYEES: ANTICIPATED IMPACT ON TRAFFIC FLOW: TYPE OF SIGNS OR LIGHTS TO BE USED AT BUSINESS LOCATION: CONTRACTOR’S OR STATE LICENSE#: LIABILITY I NSURANCE COMPANY: BUSINESS REFERENCES AND PHONE NUMBERS: 1. PHONE: 2. PHONE: 3. PHONE: EMERGENCY CALL OUT INFORMATION: 1. PHONE: 2. PHONE: ADDITIONAL INFORMATION: (ie-where is equipment stored) ATTACHED HERETO IS MY NON-REFUNDABLE PAYMENT IN THE AMOUNT OF $50.00 FOR A BUSINESS LICENSE FEE. THIS APPLICATION FOR MY BUSINESS LICENSE IS MADE SUBJECT TO ALL THE TERMS AND CONDITIONS OF TITLE 2, BELGRADE CITY CODE AND AMENDMENTS OF THE CITY OF BELGADE. THIS LICENSE IS NOT TRANSFERABLE. ALL LICENSES EXPIRE ON DECEMBER 31 OF EACH YEAR. ALL LICENSES SHALL BE PAYABLE YEARLY ON OR BEFORE JANUARY 1ST OF EACH CALENDAR YEAR. PLEASE RETURN ENTIRE APPLICATION SIGNED AND DATED. SIGNATURE OF APPLICANT DATE For Office Use Only: Police Zone Fire Mar. City Mgr Rec # Date PD Lic # Date Issued