TOWN OF GEORGETOWN - Sussex County Delaware
Town of Greenwood
100 West Market St.
Greenwood, Delaware 19950
Phone (302) 349-4534 Fax (302) 349-9332
BUSINESS LICENSE APPLICATION
Business Name: _______________________________________________ Phone: (______)_______________
Physical Location of Business: ________________________________________________________________
City: ________________________________ State: ___________ Zip: ______________
Mailing Address: ___________________________________________________________________________
City: ________________________________ State: ___________ Zip: ______________
Email Address: ________________________________________________________
Description/Type of Business: _________________________ Days/Hours of Operation: ____________________
Trade/Professional License# (if applicable) __________________________________
Proof of Insurance- Must show documentation or provide copies of:
Insurer___________________________________________
Policy # ________________________ Effective Date______________
Expiration Date _________ Address of Insurer ___________________________________________________
State Business License#________________ (Copy needed to verify)
Employer Tax ID#_________________OR Owners Drivers Lic. #____________________ State________________
Owner Name*________________________________________________ Phone: (_____)_________________
*If the applicant is a Corporation or Partnership please provide a list of all principal officers or partners, addresses and telephone numbers. You may attach a separate sheet with this information.
Contact Name (if not owner): ___________________________________ Phone: (_____)_________________
__________________________________________________________________________________________
Mark Only One Category
_____ Out of Town Business/ General Contractors $100
_____ General Business within Greenwood Town limits $50
_____ Peddlers/Solicitors $75
I certify that the information on the application is true and correct and that a false answer can subject the application to denial or a license to revocation. I comply with all provisions of Code of the Town of Greenwood, Charter Section 29(A)(33), Licensing of Business, and all other laws and ordinances of the Town of Greenwood and other jurisdictions relating to the business or enterprise for which the license is required, including applicable zoning and building codes, and shall continue to do so throughout the term of the license. This application will be considered complete only when all sections have been completed in their entirety and payment received for the proper fees.
__________________________________ _________________
Applicant Signature Date
BELOW FOR OFFICE USE ONLY
Date/Initials received: ____________________ Amount Received: $______________ CASH / CHECK #__________________
Date/Initials entered in system: __________________________
Zone_____________ Approved: _______ Denied: _______ Bus Lic #__________
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