Business Licence General Application form - …

1 Development, Buildings and Licensing Licence O ffice lic ence off ice@vancouver .ca DATE: / / Month Day Year Business Licence General APPLI CATION PART 1: COMPANY INFORMATION Complete ALL fields. LEGAL ENTITY TYPE: Sole Proprietor Partnership BC Corporation/Society Extra Provincial Company/Society Other LIST EACH Sole Proprietor / Partner s names below. For BC Corporation/Society or Extra Provincial Company/Society, list ONE (1) Director/Owner name. 1. Business Phone #: Home Phone #: Cellular #: 2. Business Phone #: Home Phone #: Cellular #: 3. Business Phone #: Home Phone #: Cellular #: BC Corporation/Society or BC Extra Provincial Company/Society Name: (If applicable) BC Corporation/Society or BC Extra Provincial Company/Societ y Regis tration No: (C opie s of BC Registration Documents Required for our record s) Trade Name/Doing Business As: (If applicable) Business Licence Start Date: Immediately Other:Describe in d et ail the n atu re of yo ur busines s and the i ntended use of the premis e.

2 (Bot h prim ar y and secondar y uses). Attac h additional s hee t( s) i f more space is needed. PART 2: CONDITIONS OF A HOME BASED Business Applicable to Vancouver Home Based Business Locations ONLY. N/A Out o f T ow n or Vancouver Comme rci al /In dustrial Premise Proceed to PA RT 3 of this form .**Home-based Business mea ns a craft or occ upation conducted as an accessory use subord inate to the p ri nc ip al re side ntial use of a dwe lling unit (re sidence), and mus t on ly be conducted within the principal building on the site. home-based Business allows a portion of the residence to be used for a craft and/or occupatio n for administra tio n pu rp os es only (mailingand telephone).

3 Cli ents are permitted to attend the premise at any partners hips and/or employees are permitted to engage in the runnin g of the Business from this resid enc per son other than one resident member of the family occupying the residence shall be engaged in the home-b ased Business on th more than three (3) home-based Business licenses shall be issued for one located in a residential building, there shall be nothin g to in dic ate fro m the exteri or of the dwelling unit or building that it is beingused for a ny purpose other than its principa l and ap proved residential use (no si gnag e permitted ).

4 Products or ma teria ls shal l be s old f ro m or within the residenc products, materia ls , or equipmen t shall be stored outside of the residence, or a ny a ccessory building on the offensive noise, odor , vib ration, smoke, hea t or ot her objectionable effect shal l be do not require a s pace i n a commercial building to carr y o n this bu siness and wis h to use my place of re sidence as my bu siness addre ss. If I am not th e ow ner of the dwelling unit, I have discu ssed a nd received permissi on to operate the home-b ased Business from the property owner/manager.

5 Th e inform at io n pr ovided may be shared in acco rda nc e w ith t he F reedom of Informat io n Ac t. I und ers tand and agre e to t he ab ov e noted terms, re gulations a nd conditions. **BU SINE SS OWNER /RESID ENT I NITI ALS: PART 3: Business LOCATION INFORMATION - Complete ALL fields. Business Location Address: (Vancouver PO Box not permi tted) Business Location Type: Vancouver Co mmercial/Industrial Premise Vancouver H ome Based /Resident ial Premise Ow ner of the property Tenant of the property Out of T ow nBusiness Mailing Address: (ONLY IF different than busin ess address) Business Email Address: I prefer my annual Business Licence renewal be sent: By Mail OR By E-mail515 West 10th Avenue, Van couver, BC V5Z 4A 8 Tel: 3-1-1, Outside Van couver: Em ail: lic Web site.

6 (Please turn over) Provide information for your Vancouver Business location: (If a pp licable) Total # of regular & p art-time employees (in cluding Business owner) at Business locat ion Total # of company &/or employee vehicles at Business loc at ion Total square f oo ta ge of Business loca tion Provide inform at ion for your Vancouver commerci al/in dustri al p re mise locat ion: (If applicable) Occupancy date of commercial/i ndustrial Business locat ion YE S NO Are you sharing space wi th ano ther company at the commercial/indust rial Business locat ion?

7 YE S NO Wil l y ou be/ha ve you performed any structural alteration s to the commercial/industrial Business loca tion? Building/dev elopment permit No.(s) Occupancy permit no. _ Tota l # of coin operated v end ing machines Total # of bank/A TM mac hin es Restau rants: Total # interior seats: Total # of exterio r seats: _ Li quor Serv ice: YES NO L icence No# Do yo u hav e a program i n plac e to se parate and recycle th e f ollow ing items: ( *check on ly if your Business does no t generat e thi s type of material) -C omp os table organics food scra ps, yard t rimmings, clean wood waste YES NO DON T CREATE* UNKNO WN -Recycli ng paper, car dboard, glass/plast ic/met al cont ainers YES NO DON T CREATE* UNKNO WN PART 4: APPLICANT STATEMENT I/We the undersigned confirm as the Business owner(s)/agent for the owner(s) that the above noted information is correct and agree to comply with ALL relevant provisions of th e Licence By-law No.

8 4450 and other appli cable City By-laws. It is also understood that the bu siness owner(s) is/ar e responsibl e for the overa ll management o f the Business including sta ff while represent in g the owner(s) Business . Fur the r, f ailure to meet the se obligations may result in the Business Licence being suspended or reported to City Counci l f or possib le re vo cation . The information provided may be shared in accordance with the Freedom o f In formation Act. Business Owner/ Director Signature #1: Print Name: Signature: Date: Business Owner/ Director Signature #2: Print Name: Signature: Date: Business Owner/ Director Signature #3: Print Name: Signature.

9 Date: Representative Signature: Letter of Authorization from 1 Owner/Director will be required in the absence of Owner/Director signature above. Print Name: Signature: Contact Phone #: Date: PART 5: Application REQUIREMENTS To avoid delays in processing, submit the following items with your Application : $ non-refundable Application fee. (Mandator y) An ad ditional pro -ra ted Licence fee is requir ed upon lic enc e approval as per Schedule A of Licence By La w No 4450.

10 1 piece of valid governme nt iss ued p hoto identification (Manda tor y) for Business Owner(s). Sole Pr oprietor/ General Partnership : Required for EACH OWNER. BC Co rp oration/Soci ety & Extra Pr ov in cial Company/Society: Required for 1 OWNER/DIRE CTOR ONLY . Le tte r of A utho ri zation for Representative and (If applic able) Represe ntative s government issued photo identifi cation. A document signed by the Owne r/ Director of the company which authorizes a representative to apply o n their behalf in the absence of the Owner s/Director s signature above.