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Business Licence Change Form

Please check the applicable changes to your business:

Corporate/business name

Owner

Physical (civic) business address

Mailing address

Phone number

Description/type of business

Effective date

Corporate/business name

Physical (civic) business address

Street address:

City:

Postal code:

Phone number:

Email:

Previous information:

New information:

For a $50.00 fee, would you like to receive a new updated business licence certificate?

Yes

Acknowledgement

As the authorized applicant or business owner(s), I understand that there may be conditions and approvals required by other city bylaws in addition to those of the current business licence bylaw. Furthermore, I confirm that I am solely responsible for adhering to the conditions of each Bylaw and acknowledge that other bylaws may apply. I understand that I must comply with the requirement of any other Municipal, Provincial or Federal regulations, as applicable.

Applicant name:

Date:

Applicant's signature

Clear

The City of Yorkton is committed to protecting your privacy. Personal information collected on this form is in accordance with The Local Authority Freedom of Information and Protection of Privacy Act (LAFOIP) and will only be used for the purpose for which it was collected. Personal information will not be shared or used for any other purpose without your express consent pursuant to LAFOIP and the City of Yorkton's policies. If you have any questions about the collection, use or disclosure of your personal information in this process, please contact the City Clerk for the City of Yorkton at 306‐786‐1717.

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Business Licence Change Form

Physical (civic) business address

Previous information:

New information:

Acknowledgement