This is the exact embedded text of the captured official document.
Snapshot b98a4ff13123 · verified 2026-10-26 ·
original document ·
archived snapshot ·
unofficial consolidation, the official version is held by the municipal clerk.
THE CORPORATION OF THE TOWNSHIP OF WHITE RIVER
102 Durham St., P.O. Box 307, White River, ON P0M 3G0
Phone: (807) 822-2450
Fax: (807) 822-2719
Record of Information - New Business
Name of New Business:
Name of Owner(s):
Business Address:
Business Telephone:
Fax:
Type of Business:
Start Date of Business:
, 20
Owner's Signature:
For Office Use Only:
Business Property Tax Roll Number:
Business Licence Purchased on:
, 20
SIGN
THE CORPORATION OF THE TOWNSHIP OF WHITE RIVER
102 Durham St., P.O. Box 307, White River, ON P0M 3G0
Phone: (807) 822-2450
Fax: (807) 822-2719
I,
, of
(First and Last Name)
(Business Name)
do hereby make application for a licence to carry on the business of
at the
(Business Description)
following location:
(Business Address)
And hereby declare that I shall duly observe all such by-laws, rules and
regulations, matters and things as are or may be enacted by the Council of the
Township of White River, if such licence is granted.
Signed this _____ day of _______________, 20_ __.
Applicant Name:
Signature:
For Office Use Only:
Approved: Declined:
Cost of Licence:
Municipal Representative:
Approved by:
Mayor:
Councillor:
SIGN