Application Type ^*	Home Based Business	License No.
	No Yes

* = required entry

Business Name (Corporate or Person) ^*

Telephone

Business Location ^*

City	Province	Postal Code ^*

Mailing Address

City	Province	Postal Code

Primary Applicant's Name (Full) ^*

Primary Applicant's Email ^*

Applicant's Telephone ^*

Primary Applicant's Address (Home) ^*

City	Province	Postal Code ^*

Secondary Applicant's Name (Full)

Secondary Applicant's Email

Secondary Applicant's Telephone

Secondary Applicant's Address (Home)

City	Province	Postal Code

Has Applicant/s ever had a license refused, revoked, suspended, or otherwise denied or terminated, by this or any other Municipality?*

Business Description

Total Floor Space	No. of Persons Engaged in Business	Trades T.Q.# (Contractors)
Sq. Ft. Sq. M.
No. of Vending Machines	Bldg. Rentals (Residential)	Bldg. Rentals (Commercial)
Machine/Type/Price	No. of Suites & Rooms	Sq.M./Sq.Ft.

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