Business License

Business Information

Choose one: *

New Business
New Owner of Existing Business

Date Business Started: *

Date of Change: *

Former Owner Name: *

Previous City License #: (if applicable)

Check any that apply:

Name Change Only
Location Change
Corporate Name/Officer Change Only

Business Name, “Company or DBA”, if Individual (Last, First, Middle) *

Business Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Is the business address the same as the mailing address?: *

Yes
No

Business Mailing Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Business Phone #: *

Business Fax #:

Email Address:

Arizona Transaction Privilege License Tax #:

Federal ID #:

Arizona Contractor License #

Date Business Will Begin: *

TYPE OF OWNERSHIP: *

SOLE OWNER
PARTNERSHIP
CORP
LLC

Limited Partnership or General Partnership? *

Limited
General

Will you have employees? *

Yes
No

Owner Or 1st Partner Name *

First

Last

Owner or 1st Partner Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Owner or 1st partner home phone #:

Owner or 1st partner cell phone #:

Social Security # (Last 4 Numbers Only) *

Owner or 1st Partner Birthdate *

Driver’s License #

Drivers License State Issued:

Additional Partner Name *

First

Last

Additional Partner Address: *

Address Line 1

Address Line 2

City

State

Zip Code

Additional partner home phone #:

Additional partner cell phone #:

Additional Partner Social Security # (Last 4 Numbers Only) *

Additional Partner Birthdate *

Additional Partner Driver’s License #

Additional Partner Drivers License State Issued:

Corporation / LLC Name *

Corporation / LLC Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone # *

Federal ID #:

Date of Incorporation

State of Incorporation

President / Member *

President/Member Date of Birth *

President/Member Address *

Address Line 1

Address Line 2

City

State

Zip Code

Vice President / Member

Vice President/Member Date of Birth

Vice President/Member Address

Address Line 1

Address Line 2

City

State

Zip Code

Secretary / Treasurer

Secretary/Treasurer Date of Birth

Secretary / Treasurer Address

Address Line 1

Address Line 2

City

State

Zip Code

Business Details

Will alcoholic beverages be served or sold? *

Yes
No

Is the business location your home residence? *

Yes
No

CHEMICALS ON SITE? *

Yes
No

Has this property been used as a business before? *

Yes
No

Prior business use, if known:

Was building vacant prior to your use? *

Yes
No

For how long? *

Square footage of building used for business? *

Has any remodeling been done recently? *

Yes
No

Describe remodeling done: *

How much parking is available for business? Number of spaces: *

Do you own or rent/lease the business premises? *

Own
Rent

*If renting or leasing, written permission from owner will be required before approval is granted on this application.

Give owner’s name, address, and phone number: *

Will your business be in Yuma, Arizona? *

Yes
No

Will your business be in Somerton, Arizona? *

Yes
No

Are you a Mobile Food Vending Operation: *

Yes
No

Did you read the "Home Occupation Requirements"? *

Yes
No

I hereby certify that I have read and understood the above regulations concerning Home Occupations. I agree to comply with them. Further, it is my understanding that failure to comply with the above regulations or complaints received from local residents may cause my license to be revoked.

Licensed Kitchen Address (must be in Somerton): *

Address Line 1

Address Line 2

City

State

Zip Code

City Business License No.

List any licenses currently or previously held in Somerton (Business or Individual).

Have you ever had a business license denied or revoked by Somerton or another government entity? *

Yes
No

If Yes, indicate date of denial/revocation, government agency, and reason for denial or revocation. *

Hours of Operation: *

Mobile Vehicle Location: *

Street Location (s) Only (No operations will occur at designated private or public property.)
Both Street and Parking Lot Operations
Parking Lot Location Only

On a property where a restaurant or café with direct access to the sidewalk/street is adjacent to or within 100 feet, and on the same block face of this location? *

Yes
No

Describe in detail the products being sold or service rendered. *

Vehicle Information

Vehicle’s Insurance *

Policy Number *

Dates of Coverage *

Year/Make/Model *

Vehicle Comp. ID #

VIN Number *

License Plate Number / State *

Did you read the "MOBILE FOOD VENDOR REQUIREMENTS Somerton Zoning Ordinance 3.1.5.E.4" *

Yes
No

This is a requirement. By reading and filling out this form, you are agreeing to comply with the regulations under this Zoning Ordinance. Failure to comply with the above regulations or complaints received from local residents may cause your license to be revoked.

Are you a: *

U.S. Citizen
Resident Alien

QUALIFIED ALIEN STATUS *

An alien lawfully admitted for permanent residence under the Immigration and Nationality Act, 8 U.S.C. § 1101 et seq. (INA).
An alien who is granted asylum under Section 208 of the INA.
A refugee admitted to the United States under Section 207 of the INA.
An alien paroled into the United States for at least one year under Section 212(d) (5) of the INA.
An alien whose deportation is being withheld under Section 243 (h) of the INA.
An alien granted conditional entry under Section 203 (a) (7) of the INA as in effect prior to April 1, 1980.
An alien who is a Cuban and Haitian entrant (As defined in section 501 (e) of the Refugee Education Assistance Act of 1980).
An alien paroled into the United States for less than one year under Section 201 (d) (5) of the INA
A non-immigrant under the Immigration and Nationality Act {8 U.S.C § 1101 (a) (15).

FIRE PREVENTION QUESTIONNAIRE

Does your business constitute a change in the use of the building you are occupying? *

Yes
No

Is there a fire sprinkler system or other automatic suppression system present? *

Yes
No

Is there a fire alarm system present in your place of business? *

Yes
No

Are there any aboveground or underground fuel storage tanks located on the property. *

Yes
No

Indicate aboveground/underground, fuel type, and capacity. *

Is the building equipped with a key box? *

Yes
No

Does/will your business store, sell, operate, use, installed, produce, or involve any of the following? *

Failure to disclose the connection of your business to any listed items requiring a permit may lead to the suspension of your business license and legal action

YUMA POLICE DEPARTMENT QUESTIONNAIRE

The Yuma Police Department is dedicated to protecting our city’s citizens and their property. The information you provide on this form will be used in furtherance of that goal. This information will be retained by our department for your protection. It is necessary that we have local personnel and addresses in case we need someone on scene.

Business Type (i.e. clothing store, restaurant, convenience store, etc) *

Owner / Manager: *

Address for Owner/Manager: *

Address Line 1

Address Line 2

City

State

Zip Code

Additional Contact: *

Address for Additional Contact: *

Address Line 1

Address Line 2

City

State

Zip Code

Additional Contact:

Address for Additional Contact:

Address Line 1

Address Line 2

City

State

Zip Code

Alarm Company:

Alarm Co. Phone #:

Alarm Company Account #:

Guard Animals on premises? *

Yes
No

Security Personnel on premises? *

Yes
No

Are they armed? *

Yes
No

Zoning Clearance For Home Occupation in Yuma, AZ

For a Home Occupation/Business, you must comply with the following regulations found in Chapter 154 of the City of Yuma Code. Please read, and checkmark each item. *

I hereby certify that I have read and understood the above regulations concerning Home Occupations. I agree to comply with them. Further, it is my understanding that failure to comply with the above regulations or complaints received from local residents may cause my license to be revoked.

Signature *

Clear Signature

Upload written permission from property owner or landlord (if you rent or lease location)

Click or drag files to this area to upload. You can upload up to 5 files.

Upload Health Permit (for Food Related Business)

Click or drag files to this area to upload. You can upload up to 5 files.

Upload copy of front and back of Identification *

Click or drag files to this area to upload. You can upload up to 10 files.

Acceptable Forms: Arizona Drivers License, Birth Certificate, United States Passport, United States Certificate of Birth Abroad, United States Certificate of Naturalization, A tribal certificate of Indian Blood, A tribal or bureau of Indian Affairs affidavit of birth, or Form I-197, United States Citizen Identification Card

Qualified Alien Status: Upload copy of front and back of Identification *

Click or drag files to this area to upload. You can upload up to 10 files.

Acceptable forms: INS Form I-55, Unexpired temporary I-551 stamp in foreign passport, INS Form I-94 with stamp showing grant of asylum under section 208 of the INA, INS Form I-6888, INS Form I-766, INS Form I-94 annotated with stamp showing admission under § 207 of the INA, INS Form I06888, INS Form I-94 with stamp showing admission for at least one consecutive year under section 212 (d) (5) of the INA.

Business Application

Price: $175.00

Payment Method *

Paypal
Stripe Credit/Debit Card

Paypal will open a new window after submission of document.

Stripe Credit/Debit Card *

Card

Name on Card

Location

Telephone

E-mail

Business License

Do you ever have the desire to own your own company? A business application is the first step in the right direction!

Varying from a Home Business to a Sole Proprietor, LLC, even a Mobile Food Vendor, for a flat fee, we will fill the application out for you.*

Fill out our form online and make your payment on our website OR you can Book an Appointment now to meet in person or virtually.

Business Information

Business Details

Vehicle Information

FIRE PREVENTION QUESTIONNAIRE

YUMA POLICE DEPARTMENT QUESTIONNAIRE

Zoning Clearance For Home Occupation in Yuma, AZ

Location

Telephone

E-mail