Business License Application Name of Applicant* Official Name of Business* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Owner(s)/Operator(s)* Home PhoneHome Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is this a home occupation? Yes No Do you have an Alarm System Yes No Please supply us with a written description of what the home occupation consists of.Principle contacts to be called in case of an emergency or business irregularity after closing hours. List them in the order of preference in which you wish them to be contacted. Also indicate if key holder must be listed.NameAddressPhone #Key Holder (Y/N)Over the age of 18? (Y/N) Are there any hazardous product(s) that may be harmful to life or safety on the Premises? Yes No If YES attached Material Safety Data Sheets (MSDS Forms).These will be forwarded to the Fire Department.Max. file size: 128 MB.Any FOREIGN CORPORATION must submit Certificate of Authority from Indiana Secretary of State.Describe how the solid waste will be managedNature of this business Construction and building trades and services (general contractors, HVAC, masonry, metal work, concrete, carpentry, excavating, landscaping, etc.) Eating and drinking establishments (restaurants, bars, taverns) Arts, entertainment and leisure (bowling, movie theaters, fun centers, etc.) Financial, administrative, and professional services (banks, stock and bond brokerage, mortgage bankers, lawyers, accountants, insurance sales, engineers, real estate, etc.) Health services (doctors, clinics, physical therapists, etc.) Hotels and motels Manufacturing Passenger transportation and travel Personal services (beauty salons, barbers, spas, tanning salons, etc.) Public, educational and social services (VFW, schools, library, churches, etc.) Repair and maintenance services Retail, apparel Retail, auto Retail, building, lumber, and hardware Retail, clothing Retail, food Retail, furniture Retail, general merchandise Retail, other Trucking, shipping and freight storage and transit Wholesale Trade (merchant wholesalers, durable and nondurable goods) Other services Miscellaneous Pls specify