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Privilege License Application
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Steps
1.
Business Name Information
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This section is incomplete
2.
Owner Information
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3.
Business Location Information
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4.
Business Type Information
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5.
Manager / Business Information
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Business Name Information
Instructions
This is an application for privilege to do business inside the city limits of Jacksonville. Please complete the entire application. If an item does not apply, enter ‘N/A’ in the available space.
Application Date
*
Business Start Date
*
Business Name
*
Corporation Name
*
If different from business name
Business Description
*
Include all activities. Please note that if it is a tattoo business you are required to provide a copy of an Onslow County Health Department Certificate with this application.
Onslow County Health Department Certificate
Please provide your Onslow County Health Department Certificate if you are a tattoo business.
Business Location (Street Address)
*
Mailing Address
If different from street address
Does your business have more than one location in North Carolina?
*
Yes
No
If yes, list other locations in North Carolina:
Continue
Owner Information
Type of Ownership
*
Corporation
Individual
Partnership
Other
Owner of Business
*
Street Address
*
Mailing Address
If different from street address
Business Phone
*
Secondary Phone
*
Fax Number
*
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Business Location Information
Home Occupation Use Permit Information
Important - Each business must have a principal location. A business is considered to be home based if the principal location of the business is a residence. This includes businesses of a mobile nature such as construction / home improvement companies, mobile car repair, power washing, and repair services. If the answer to both questions is yes, our policy requires that you obtain a Home Occupation Use Permit from our Zoning Division or Inspections Department.
Is the business located within Jacksonville city limits?:
*
Yes
No
Is this business home based?
*
Yes
No
Does the firm own the building?
*
Yes
No
If not owned, the building is leased or rented from:
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Business Type Information
Does your business sell retail or wholesale items?
*
Yes
No
Describe in detail the type of items sold
*
Contractors State License Number
*
Expiration Date
*
List Subcontractors
*
Name, Address, and Contact Phone Number
Hotel / Motel Number of Rooms
*
Restaurant Seating Capacity
*
Will there be live entertainment?
*
Yes
No
Does the business sell intoxicating beverages?
*
If yes, you are required to complete a beer / wine application and submit it to the Jacksonville Police Department for processing.
Yes
No
Taxi Certificate (J) Number
Day Care - Number of Children Cared For
*
Beauty Salon, Barber Shop, Manicurist - Number of Chairs
*
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Manager / Business Information
Manager’s Name
*
Business Phone
*
Federal EIN or Owner(s) Social Security Number (SSN)
*
SSN is mandatory per Federal Statute 42 U.S.C. 405 (C)(i). The SSN may be used for the purpose of collecting owed taxes.
Business Name
*
Signature of Applicant
Return Completed Form to:
Finance Department
City of Jacksonville
P.O. Box 128
Jacksonville, NC 28541-0128
Finance Department
City of Jacksonville
815 New Bridge St.
Jacksonville, NC 28540
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