Business License Application - Village of Hainesville Village of Hainesville

General Information

Application Type(Required)

New License

Renewal License

Change of Owner

Change of Business Name

Business Name(Required)

Phone(Required)

Business Address(Required)

Street Address Address Line 2 City State ZIP Code

Mailing Address

Street Address Address Line 2 City State ZIP Code

Type of Business(Required)

Retail Sales Tax(Required)

Days and Hours of Operation(Required)

Days

Open

Example

M-F

9am

4pm

List of Vending Machines and Cigarette Sales

Alarm Types

Fire

Security

Other

Alarm Company

Alarm Company Phone

Business Owner Contact Information

Name(Required)

First Last

Phone(Required)

Address

Street Address Address Line 2 City State ZIP Code

Employee Contact Information

Contact #1 Name

Phone

Contact #2 Name

Phone

Building Owner / Landlord Contact Information

Name(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Licenses and Documents

If you require one or more Lake County Health Department Certificates, please include that below.

Upload Files Here

Attach all required State and County licenses held by the Business Owner, Business Manager and employees.

Max. file size: 50 MB.

Signature(Required)

The undersigned Business Owner hereby applies to the Village of Hainesville, Illinois for Business Registration. I have read and completed this application and fully understand its intent and I declare that the statements made are true and understand that incomplete applications or applications containing false information will not be approved.

I certify that the above application is true and correct.