Laserfiche WebLink
11 T BUSINESS LICENSE APPLICATION <br /> MOUNDSV I /,j 2401 Mounds View Blvd.I Mounds View,MN SS112 <br /> i• (763)717-4000 1 Fax(763)717-4019 <br /> info@moundsviewmn.org <br /> ADDRESS OF MOUNDS VIEW BUSINESS BUSINESS NAME/DBA <br /> TYPE OF LICENSE APPLYING FOR: <br /> (if you see a*in front of license type,please also complete additional question(s)that pertain to your license type just below the checklist). <br /> ❑ Circus/Carnival Rides(Additional Form-Appendix A) <br /> ❑ Adult Establishment(Additional Forms Required) <br /> ❑ Automobile Dealer,New and Used <br /> ❑ Automobile Dealer,Used Only <br /> ❑ *Bowling Alley <br /> ❑ Cigarette and Tobacco (Background Check and CT102 MN Dept of Revenue forms required) <br /> ❑ *Gasoline Sales <br /> ❑ Recuperative Homes/Half Way House <br /> ❑ Pawn Shop <br /> ❑ Lawful Gambling/Premises Permit(State of MN requirements must be met) <br /> *Restaurant-CLASS A(copy of County/State food license required) <br /> ❑ *Restaurant-CLASS B(copy of County/State food license required) <br /> Bowling Alley- ` Gasoline Sales-Number of Pumps and Restaurant ftr B) -Occupancy Restaurant-#hours open per <br /> Number of Lanes Tanks(above and underground) Load (\. `:_I day <br /> This application is NOT for:Intoxicating Liquor,3.2 Percent Malt Liquor, Brew Pubs,Peddler/Solicitor/Transient Merchant,Therapeutic <br /> Massage,Christmas Tree Sales,Garbage/Recycling. <br /> Background Check form-and color copy of current drivers license or ID required for:Cigarette/Tobacco,Lawful Gambling,Pawn Shop,and <br /> Adult Establishment. <br /> Additional Forms: <br /> APPENDIX A for Circus/Carnival Rides <br /> CT102 and BAC..KGROUND.CHECK for Ciqarette and Tobacco. <br /> Required for all Licenses: Tax Clearance/Worker's Comp - Click Here (a WA C. ILPc�l <br /> County/State Food License(Restaurants)or other documentation upload <br /> Choose File No file chosen <br /> Upload a File(Additional Information/Forms/Copy of Drivers Upload a File(Additional Information/Forms/Copy of Drivers <br /> License or ID) License or ID) <br /> Choose File No file chosen Choose File No file chosen <br /> Have you ever had a business license revoked?If yes,please attach explantion. Explanation of license revocation if applicable <br /> ❑ Yes Choose File No file chosen <br /> XNo <br /> 1/2 <br />