I, (We) hereby make application to the Village of Fairmont city, Illinois, for licensing to conduct the above listed business. I (We) certify that all fees have been paid on property of business and officers:
I understand that the issuance of this business shall be subject to the provisions of local Ordinances of Fairmont City, the building Code, regulations of the Village Board and Statutes of the State of Illinois.
This application will be reviewed and an appropriate investigation for licensing purposes will be conducted.
All Applicants must sign and date below.