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Business License Application
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I/We, the undersigned, hereby make application for license under and by virtue of the Ordinances of the Village of Riverside for conducting a business.
Name of Business
D/B/A Name
Type of Business
Corporation
Partnership
Sole Proprietor
Other
Federal Tax ID #
IL Retail Sales Tax # **
Zoning District
Address
City
State
Zip Code
Phone Number
Fax #
Email
Hours of Operation
Business Website
Detailed Profile of Business & All Services Rendered at this Location
Type
Bowling Alley
Christmas Tree Merchant
Milk Distributor
Filling Stations
Multiple Locations
Laundromats
Moving Picture Theatre
Any Retail Operations
Catch Basin & Sewer Cleaners (Scavengers)
Tobacco Sales
Estate Sales
Food Dealer***
Secondhand & Antique Dealer
Mobile Food Units (Push Carts or temporary trailers)
Street & Sidewalk Sales
Peddlers
** Requires registration with the Illinois Department of Revenue *** Requires Health Inspection
ALL BUSINESSES WILL BE INSPECTED RELATIVE TO BUILDING AND FIRE DEPARTMENT CODES
I/We hereby certify that all of the information contained in this application for a Business License is true and correct, that I/We am/are authorized to sign this document of behalf of this business; further that any false penalties provided for by law. I/We further state that we understand all of the ordinances of the Village of Riverside or the laws of the State of Illinois or of the United States of America in the conduct of the place of business described herein. NOTE: This is an application for a business license and it is understood that a business cannot be conducted until a license is issued by the Village Clerk of the Village of Riverside, Illinois.
Electronic Signature Agreement
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
I agree.
Electronic Signature
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