☐ Sole Proprietorship ☐ General Partnership ☐ Corporation or Charitable Organization Business Information (Please Print) Business Name: Business Operating Address: City/ Town: Province: Postal Code: Phone Number: Alternate Phone Number: Email Address: Application Information (Please Print) Note: If more than one applicant, please include a list of owners and their full contact information on anoth. [...] Address: City/ Town: Province: Postal Code: mailto:CKlicensing@chatham-kent.ca Location of Sales Note: Please provide location of Sales if different from Business Operating Address Address: City/ Town: Province: Postal Code: Nature of Goods Being Sold: Proposed Start Date: Proposed End Date: Licence Category Type of Business Licence term Please Check Fee Late Fee Day Sales Maximum of 3 Days ☐ $273. [...] I acknowledge that the information requested on this form and any attachments are collected under the authority of the Municipal Act. [...] This information is required in order to process, issue, monitor, regulate and investigate the various licences issued by Licensing Services of the Municipality of Chatham- Kent. [...] I declare the information given in this application and any supporting documents is true, correct, and complete in every respect and understand that false statements could result in the revocation of the license, if granted.
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