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PRIVILEGE LICENSE APPLICATION
SECTION A. BUSINESS INFORMATION DATE OF APPLICATION: ____________________________________________________ BUSINESS NAME: __________________________________________________________ BUSINESS LOCATION: ______________________________________________________ MAILING ADDRESS: ________________________________________________________ TYPE OF OWNERSHIP: INDIVIDUAL PARTNERSHIP CORPORATION TYPE OF BUSINESS: ________________________________________________________ DO YOU OWN THE BUILDING WHERE BUSINESS IS LOCATED? YES ____ NO ____ FEDERAL TAX I.D. # _____________________ PHONE # ________________________ CONTACT PERSON: ________________________________________________________ * Please note that if your business requires a State License you may be exempt from a privilege license. See the exemption schedule in this application. Also, if your business is an adult entertainment, a separate application must be completed.* SECTION B. ZONING INFORMATION HAVE YOU OBTAINED A COMPLIANCE FROM ZONING DEPT.? YES ____ NO ____ IF SO THE DATE OF COMPLIANCE ISSUED: ___________________________________ HAVE YOU OBTAINED A COMPLIANCE FROM INSPECTIONS? YES ____ NO ____ IF SO THE DATE OF COMPLIANCE ISSUED: ___________________________________ If yes, please submit a copy of each compliance. If these conditions have not been met please note that a privilege license can not be issued unless otherwise authorized by zoning, inspections or Town Manager. SECTION C. BUSINESS TYPE BUSINESS TYPE: SERVICE RETAIL MANUFACTURING OTHER BRIEFLY DESCRIBE THE NATURE OF YOUR BUSINESS: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________
SECTION D. CONTRACTOR'S LICENSE & ABC PERMITS PLEASE COMPLETE IF APPLICABLE: IF YOU ARE A LICENSE CONTRACTOR PLEASE SPECIFY STATE CONTRACTOR'S LICENSE #: ____________________________________________________________ Please note that the N. C. General Statutes G. S. 105.54 (G.S. 160A-211) limit a $10.00 license fee on State License contractors only. If you do not have a State issued contractor's liense you will be taxed as authorized by the guidelines of the Town of Waynesville. If you are a contractor from another state the General Statute does not apply. DOES YOUR BUSINESS SELL ANY ALCOHOLIC BEVERAGES? YES _____ NO ____ IF SO, PLEASE PROVIDE STATE LICENSE # ____________________________________ Please note that a privilege license will not be issued to sell any alcoholic beverages until you have obtained a State ABC License. If this has been obtained please attach a copy with this application. SECTION E. OWNER INFORMATION NAME: ____________________________________________________________________ ADDRESS: _________________________________________________________________ SOCIAL SECURITY #: ________________________PHONE #: ______________________ I intend to do business within the Town of Waynesville. This is my application for a privilege license in accordance with the ordinances of the Town of Waynesville. I understand as a condition of upon which license may be granted, I (we) agree that the same may be revoked and cancelled if I (we) are not in accordance with the Ordinances of the Town of Waynesville. I also understand that by signing this application that the issuance of a privilege license does not constitute acceptance or approval of the use of the above named location as having complied with existing building or fire codes. A licensee shall remain fully liable and responsible for being in compliance with all codes that the Town of Waynesville may enforce. To the best of my knowledcge I certify that all the information provided is correct. __________________________________________________ SIGNATURE OF APPLICANT SECTION F. OFFICE USE ONLY Please indicate codes that licensee has been charged. CODES _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ ______________________________________________________ ISSUED BY Town of Waynesville Business License PROFESSIONAL EXEMPTIONS (a) Any person who engages in business within the Town for religious, educational or charitable purposes shall be exempt from paying any privilege license tax levied by this schedule. (b) Privilege license tax levied by this schedule, to the extent provided by the General Statutes. (c) Any person serving in any branch of the armed forces of the United States or in the merchant marine during the period of such service shall be exempt from liability for any and all license taxes levied by the Town in the state for the privilege of engaging in or carrying on any trade or profession in the state, which trade or profession such a person immediately prior to being called into such service was engaged in. (d) In addition to the above, certain businesses are exempted from privilege license taxes by state law. A list of such exempted businesses falls under Professionals in this fee schedule. The Town of Waynesville may not tax those who practice the following professions: Architect Attorney-at-law Chiropodist Chiropractor Dentist Engineer G.S. 89C-3 Land Surveyor G.S. 89C-3 Landscape Architect Licensed Embalmer Licensed Mortician G.S. 105-41 Ophthamologist Optician Optometrist Osteopath Photographer Physician Public Accountant Real Estate Broker or Salesman G.S. 93E-1-4 Real Estate Loan Broker/Appraiser G.S. 93E-1-4 Surgeon Veterinarian
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