General Business Registration License Application
City of Belvidere
401 Whitney Blvd., Belvidere, IL 61008 - (815)544-2612
Date of Application:
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Month
-
Day
Year
Date
Business Name:
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Business Site/Location:
*
Nature of Business & Types of Services Provided or Goods Sold:
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Business Telephone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business E-Mail Address:
Business Owner:
First Name
Last Name
Business Owner's Telephone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Corporate or Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Manager: (if any)
First Name
Last Name
Manager's Telephone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Property Owner:
First Name
Last Name
Property Owner's Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Owner's Telephone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Do you want your business to be included in the City of Belvidere Business Directory which is available on the City of Belvidere's Website?
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Yes
No
By signing this form the following person(s) certify that he/she has verified with the City Community Development Department that the property is zoned properly for this business and that a building permit (if required) has been obtained.
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