CITY OF MT. PLEASANT, MICHIGAN
APPLICATION FOR CITY LICENSE
320 W. BROADWAY ST.
MT. PLEASANT, MI 48858-2447
TELEPHONE: (989) 779-5300
OFFICE HOURS: Monday-Friday 8a.m.-4:30p.m.
$10.00 ICHAT LOOK UP FEE REQUIRED
Applicable License Fee:
License No.:
TYPE OF LICENSE
Auctioneer
Pawn Broker
Taxi Cabs Business
Circus/Menagerie,Carnival,Exhibition,Side Show
Junk Dealer
Peddler
Transient
Mobile Food Service Provider
First
Middle
Last
Date of Birth
-
Month
-
Day
Year
Date
Drivers License No.
Primary Phone No.
Veteran - Honorable Discharge
Yes
No
E-Mail Address
Address
City
State
Zip
Name of Business
Business Address
City
State
Zip
License/Event Expires
Term/Date of License
Brief statement of nature and kind of business to be operated, services to be offered for sale or event to be held:
I have/have not been convicted of a crime, misdemeanor or violation of any Municipal Ordinance (includes applicant and local manager, with full particulars of any conviction)
If YES, what was conviction for?
Date of Conviction
-
Month
-
Day
Year
Date
State/County
Date
-
Month
-
Day
Year
Date
Applicant"s Signature
Approved by: CITY CLERK
Date
-
Month
-
Day
Year
Date
Submit
Print Form
Should be Empty: