Licenses
Please indicate the type of license you are requesting - mark as many as apply. Mail with payment to:
City of Princeton, 100 Courthouse Road, Princeton, WV 24740-2431
City of Princeton
100 Courthouse Road, Princeton, WV 24740
APPLICATION FOR CITY LICENSE
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Business, Company or Professional Name: |
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Type of Business Activity: |
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Date Business Began: |
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Location of Business: |
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Mailing Address for Business: |
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| Telephone Number for Business: | ||
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Contact Person: |
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Entity Responsible for Business & Occupation Tax: |
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Will any of the following be sold or available for use at your establishment? |
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Tobacco Products _________ |
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Soft Drinks _________ |
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Alcoholic Beverages _________ |
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Vending Machines _________ |
Number of Machines _____ | Owner:___________________ |
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Pool Tables _________ |
Number of Machines _____ | Owner:___________________ |
Attach current copy of all that apply: WV Business Registration Certificate, WV Contractor
License, Mercer County Board of Health Permit to Operate, WV Alcohol Beverage Control
Commission License
Business Ownership:
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Name: |
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| Home Address: |
| Home Phone: |
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Name: |
| SSN: |
| Home Address: |
| Home Phone: |
_________________________________ ________________________ ______________
Signature of Applicant Title Date
2007 City of Princeton. All rights reserved.
Revised:
12/04/09
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