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4320-02
SCHEDULE "B" Business Licence Application
The Corporation of The Village of
BUSINESS LICENCE APPLICATION
Application Type:
Business Owner Information
Business Name: ______________________________
Name of Owner(s): ___________________________
___________________________________________
Street Address: ______________________________
Mailing Address: _____________________________
Phone: _____________________________________
Email (optional): _____________________________
Property Owner Information
Name of Owner(s): _____________________________
_____________________________________________
Mailing Address: _______________________________
_____________________________________________
Phone: _______________________________________
Email (optional): _______________________________
Property Tax Roll/Folio No. _______________________
General Information
To be completed for all Business Licence Applications
1. Description of Business to be conducted: _______________________________________________________
2. Size of premises to be occupied: ________________ m2/ft2
3. Previous use of space: ______________________________________________________________________
4. Does your business conform to the Zoning Bylaw? Yes No
5. Is your business a Home-Based Business? Yes No (if yes, confirm compliance with Zoning Bylaw)
6. Does your business have off-street parking? Yes No (if yes, number of stalls ______)
7. Is your business a Mobile Restaurant,
Itinerant Show or Entertainment? Yes No (if yes, submit a copy of insurance policy)
Authorization
I hereby make application for a business licence in accordance with the above-stated information and declare that
the statements are true and correct. I agree, if granted a licence, to comply with all relevant bylaws now in force
or which may come into force in the Village of Telkwa.
Signature of Applicant: ______________________________ Date: ______________________
Your personal information is maintained in accordance with the Freedom of Information and Protection of Privacy Act. If you have any
questions regarding the use of your personal information, please call the Chief Administrative Officer for the Village of Telkwa at 250-
846-5212.
New Licence
Auxiliary Licence
Owner/Address Change
Non-Resident
SIGN
FOR OFFICIAL USE ONLY
VERIFICATIONS
Property Zoning: ___________________________________________________________________
Use Permitted?
O Yes __________________________________________________
O No __________________________________________________
APPROVALS
APPROVAL REQUIRED
APPROVAL RECEIVED
O Yes
O No
O Yes
O No
O Yes
O No
O Yes
O No
O Yes
O No
O Yes
O No
APPROVING AUTHORITY
Building Inspector
Fire Dept.
Licensing & Control
Board (Liquor Outlet,
Cannabis Dispensary)
Northern Health
O Yes
O No
O Yes
O No
Operating Permit
(Restaurant/Food, Personal
Services)
Copy of Insurance Policy
O Yes
O No
O Yes
O No
(Iterant Show/Entertainment,
Mobile Restaurant)
Copy of Owner Consent
(Mobile Vendor/Restaurant)
LICENCE ISSUANCE
Business Licence #: ________________________________________________
Business Classification: _____________________________________________
Billing Class #: ____________________________________________________
Licence Fee: ______________________________________________________
Payment Received: _________________________________________________
APPROVED: __________________________________
______________________
Licence Inspector
Date