Required fields are marked with asterisks (*)

Business Licence Application

Information collected on this form is collected pursuant to Section 210 (1), (5) and (11) of the Municipal Act, R.S.O. 1990, c,m,45, as amended, and is necessary to process a business licence application

Note: This application will be subject to Zoning Approval

Type of Application:

New Application $60.00

Change of Ownership $31.00

Change of Address $31.00

Change of Business Name $31.00

Total:

Business Information:

Operating as Business Name:

Business Owner’s Name:

Business Phone Number:

Business Location (Street address, unit number and postal code):

Business Email Address:

Anticipated Opening Date:

Applicant Information:

Applicant's Name:

Title/Position within Company:

Residential Address (Street address, unit number, city and postal code):

Telephone number - Primary:

Telephone number - Secondary:

Applicant's Email Address:

General Application Requirements:

Please upload required documents:

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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Documents to upload in order to submit a complete application:

Sole Proprietor (copy of gov issued ID)
Corporation (copy of Certificate of Status or equivalent)
Business Owner Authorization Letter (if applicant is not the business owner)
Copy of authorization letter from the property owner
Floor plans or site plans (as required)
Copy of Certificate of Insurance
Introduction Letter (describe business and include a list of all the uses undertaken)
Building Owner Authorization Letter/Lease Agreement
Other information if necessary

Will the business be operating in an existing building?

Yes

Are you contemplating any building/alteration work associated with this Business Licence?

Yes

Have you applied for a Building Permit/Plumbing Permit?

Yes

Are there any active permits or orders for this property?

Yes

Are you planning to erect a sign?

Yes

Please indicate the amount of floor space that will be used for the business

Please indicate the location of the business (ex. Detached garage, attached garage, house)

How many employees will be working on site?

Will there be any day-to-day activities at the location? (ex. retail store, personal service establishment)

Yes

Declaration

In the matter of By-law 2019-20 and amendments thereto, for regulating the issuance, renewal and approval of licences in the Corporation of the City of Clarence-Rockland, I, the undersigned, certify that the statements herein contained in the said application are true and made with a full knowledge of the circumstances connected with the same, and acknowledge that I have read the declaration and notice contained below.

The undersigned agrees that the issuance of a licence will be subject to approvals from such municipal or provincial departments or agencies, as the Licence Manager deems necessary. The issuance of a licence is not indented and shall not be construed as permission or consent by the Corporation for the holder of the licence to contravene or fail to observe or comply with any law of Canada or Ontario or any by-law of the Corporation.

Any business licence application that has not received approvals from all municipal or provincial departments or agencies due to the applicant’s inability to comply with the licence requirements within 90 days from the date of filing the application shall be deemed refused.

Declaration Checkbox:

I hereby certify the truth of all the statements or representations.

Signing Date:

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Business Licence Application

Business Information:

Applicant Information:

General Application Requirements:

Declaration

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