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Application Fee: $150 Per Employee: $6 AMOUNT: TYPE: DATE: Booth Rental Millcreek Business License Application 3330 S. 1300 E. Millcreek, UT 84106 Phone: [PHONE REDACTED] For more information please visit www.millcreek.us Date: Business License Community Council: APN Business Name: Phone: Business Location: City: Millcreek State: UT Zip: Business Web Address: Business Email: Number of Employees: Type of Business: Briefly Describe Your Business Activities At The Location: BLUE BOXES ARE FOR OFFICE USE ONLY Date: Business License Community Council: Zone: BOOTH/ROOM RENTA L Business Name You Are Renting From Business Fee Exemption Request X YOU MUST SUBMIT THE FOLLOWING ITEMS WITH YOUR APPLICAITON: You must provide documents for all fields marked “Yes” below. Yes No Verification that your Business Name has been registered with the Utah Department of Commerce (This document is always required unless the Business Name is your exact legal name.) Sales Tax Number (STC) (When the business sells a product) Employer Identification Number (EIN) (When there are employees, not including the owner or for a Corporation, Partnership or Limited Liability) Property Owner / Primary Tenant Authorization (This is the business owners authorization to operate a booth/room under their existing business license.) DOPL License or Professional License/Certification Valid Business License # ---PAGE BREAK--- City: State: Corporation Partnership* Limited Liability* (Red requires EIN) OWNERSHIP TYPE: OWNERS NAME: First: Last: Initial: Date of Birth: Address: City: State: Zip: City: State: Phone: Contact Name: Position: Owner Manager Employee Contact Address: City: State: Phone: Email: Applicant’s Agreement: I the undersigned understand and agree to comply with all applicable codes and regulations of the Millcreek Code of Ordinances. I understand that I shall not begin, nor cause to begin, business at this location without first obtaining a business license, which includes passing zoning, fire, building, and / or wastewater or other inspections / reviews as required. I would like my Business License Renewal Form sent to: Owner’s Mailing Address Business Address Corporate Address Please Note: Your business license will expire one year from the date issued, and all licenses must be renewed annually. Any license renewed 30 days after the expiration date will be assessed a penalty fee. As per Millcreek Code of Ordinance, Section 5.16.090 . . it is the responsibility of the licensee to renew the license and failure to receive a renewal statement does not excuse this responsibility. . Applicant’s Signature: Planning/Zoning Approval & Comments Signature: Date: Sale Tax Number (STC): Federal Tax ID# (EIN): Number of Employees: ---PAGE BREAK--- Millcreek 3330 S. 1300 E. Millcreek, UT 84106 Phone: [PHONE REDACTED] For more information please visit www.millcreek.us Property Primary Tenant Authorization Date: Community Council: Application Accepted by: Primary Tenant Business