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Application for Business License - Commercial

2. SECTION I: Business Information

4. Business Name*

6. Business Address*

8. Mailing Address (if different)

10. City

11. State

12. Zip

14. Local Business Phone*

15. Cell Phone

17. Email Address*

18. Website Address

20. Business Activity: Please choose one (1) that best describes your business.*

    1. Acct/ Bookkeeping
    2. Agricultural
    3. Animal Services
    4. Audio/Video
    5. Automotive
    6. Beauty/Salon Services
    7. Child Care/Preschool
    8. Cleaning/Janitorial

    1. Contractor/Construction
    2. Education/Lessons
    3. Food Related
    4. Gym/Spa/Nutrition
    5. Home Office
    6. HVAC
    7. Landscaping
    8. Marketing

    1. Medical/Dental
    2. Multi-Family Residential
    3. Non-Profit
    4. Real Estate Related
    5. Photography
    6. Retail
    7. Sexually Oriented
    8. Tabacco/Vaper Products

22. When do you expect your business to open?*

24. Do you want to be featured on Bluffdale City's"Shop Local" Facebook Page?

    1. Yes
    2. No

    If yes, please email your ad to Natalie at businesslicense@bluffdale.com.

26. SECTION II: Federal and State Requirements

28. State Registration and Tax numbers can be obtained by logging onto www.osbr.utah.gov

30. Ownership Type:*
    -- Select One --CorporationPartnershipLLCSole ProprietorOther

31. Business Entity No.: *

32. Expiration Date*
    Expiration Date

34. State Sales Tax No.:

35. State License Type & No.: (if any)

36. Expiration Date
    Expiration Date

38. SECTION III: Business Description

40. Number of Employees*

42. 1. *Do you use, store or manufacture and chemical, combustible or hazardous materials?*
    -- Select One --YesNo

    If so, please explain below.

43. *If so, please explain here.

45. 2. Food Establishment*
    -- Select One --YesNo

    If yes, include a copy of Health Permit

46. 3. Multi-Unit Residential*
    -- Select One --YesNo

47. If Yes, Number of Units

49. 4. Door to Door Sales*
    -- Select One --YesNo

    This requires a separate solicitor's license.

50. 5. Alcoholic Beverages*
    -- Select One --YesNo

51. 6. Media of a Sexual Nature*
    -- Select One --YesNo

52. 7. Alarm System*
    -- Select One --YesNo

54. Describe your business in detail.*

56. SECTION IV: Fees

58. License Fees

    1. Application Fee - $15.00 (required)
    2. Commercial License - $85.00 (required)
    3. Inspections - $50.00 (required)
    4. Employees ($6.00 ea.) (Business owner not included)

    Call the cashiering office at 801-254-2200 to make a payment.

60. Receipt #
    _______________________________

    _______________________________

61. Date Paid
    _______________________________

    _______________________________

62. Initials
    ___________________________

    ___________________________

64. SECTION V: Required Signatures

66. Licensing & Approvals
    License is subject to approval from the Planning Department, Code Enforcement and Fire Department. It is expressly understood and agreed that the Bluffdale City Council may refuse to grant the license applied for, or if allowed, will be granted and accepted by Licensee on condition that it may be revoked at the will and pleasure of the City Council of the City of Bluffdale when, in their opinion, such action is necessary for the protection of the public health, peace or morals or for violation of laws or ordinances relating to business. I/we do hereby confirm that the above information is a correct and true reflection of the applicant(s) and business. I agree to conduct business in accordance with the provisions of the most recently adopted Business License ordinance and any other ordinance or statues governing operation of said business. I understand that this application may be subject to audit, for billing purposes.

    License is subject to approval from the Planning Department, Code Enforcement and Fire Department. It is expressly understood and agreed that the Bluffdale City Council may refuse to grant the license applied for, or if allowed, will be granted and accepted by Licensee on condition that it may be revoked at the will and pleasure of the City Council of the City of Bluffdale when, in their opinion, such action is necessary for the protection of the public health, peace or morals or for violation of laws or ordinances relating to business. I/we do hereby confirm that the above information is a correct and true reflection of the applicant(s) and business. I agree to conduct business in accordance with the provisions of the most recently adopted Business License ordinance and any other ordinance or statues governing operation of said business. I understand that this application may be subject to audit, for billing purposes.

68. Electronic Signature*

    By checking 'I agree,' you agree and acknowledge your electronic signature is valid and binding in the same force and effect as a handwritten signature.

    1. I Agree
70. Signature*

71. Date*
    Date

73. FOR OFFICE USE ONLY

75. Zoning Clearance _____________________________ Yes ____ No ____ Date ________________

76. Exempt: Yes _____ No _______

78. Code Enforcement _____________________________ Yes ____ No ____ Date ________________

80. NOTES:

Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit Submit and Print

* indicates a required field