Limited License Location Transfer Request

Limited License Location Transfer Request

Name of Licensee*

What is the name on the business license?

Business License Number*

What is the business license number?

Address of current licensed location*

Address of proposed location*

First name of Contact person*

Last name of Contact person*

Contact email*

Contact phone*

Are you an a sole proprietor, an owner of the applicant entity, or a representative of the entity applying for a license?*

Sole Proprietor - an individual applicant not affiliated with an organized business entity

Owner - an owner, director, member, manager, officer, partner, shareholder, or person with an ownership interest in the applicant

Representative- a person authorized by the Applicant to complete this application

Sole proprietor

Owner

Representative

File Upload*

Please upload the following in support of this request:

-Deed, lease, or other documentation of applicant's site control of the proposed location;

-Copy of current active City and State licenses;

-Conditional land use approval for the proposed location to be licensed;

-Certificate of occupancy for the permitted use at the proposed location, or certificate of compliance if the certificate of occupancy is older than 1 year;

-Blight clearance for the proposed location dated within 60 days prior to application;

-Property tax clearance for the proposed location showing taxes are current.

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