Business License Renewal Form

Name(Required)

Business Name(Required)

Doing Business As

Business Site Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Business Phone Number(Required)

Contact Phone Number(Required)

Email(Required)

Total Number of Full-Time Employees (Please include yourself in the employee count as (1) even if you have no additional employees)(Required)

Total Number of Part-Time Employees(Required)

Total Number of Seasonal Employees(Required)

Business Name has NOT changed(Required)

No Change

Has Changed

New Business Name

Ownership has not changed(Required)

No Change

Has Changed

New Owner(s)

On site manager has not changed since 2018(Required)

No Change

Has Changed

New Manager

Mailing Address has not changed(Required)

No Change

Has Changed

New Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Scope of Business has not changed(Required)

No Change

Has Changed

New Scope of Business

The above information is accurate and I am authorized to submit this form on behalf of my business.(Required)

By selecting the "Agree" button, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "Agree" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or in accessing or making any transaction regarding any agreement, acknowledgement, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature. You also represent that you are authorized to enter into this Agreement for all persons who own or are authorized to access any of your accounts and that such persons will be bound by the terms of this Agreement.

Agree

Full Name(Required)

I intend to pay the $50 annual fee via(Required)

Check

Online

Cash

City Notification

After submitting your application, a copy your completed online Business License form will be emailed to the address provided on page one of this application. If you need a copy for your records, please print this email. If you do not receive an emailed copy of your application, please contact the City at Building@WoodVillageOR.gov.

Comments

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Business License Renewal Form

City Notification

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