DUCHESNE COUNTY BUSINESS LICENSE ZONE CLEARANCE
Business Licensing Clerk, PO Box 270, 734 North Center St, Duchesne, UT 84021.
Phone: (435)-738-1227; Fax: (435-738-5522)
APPLICANT: PLEASE PRINT & COMPLETE ALL BLANKS INSIDE THIS BOX
Date of Application
Property Tax Serial #
Applicant's Name
Phone
Cell
Fax
Applicant's Mailing Address
City
State
Zip
Physical Address of Proposed Business:
Mailing Address of Proposed Business:
Name of Property Owner:
Property Owner Physical/Mailing Address:
List type of business and describe all business activities (future activities not listed may not be allowed):
Is this activity a new use for this location?
If yes, what was its previous use?
Is property owned by applicant or leased?
Will business activity be conducted within a structure?
Type of structure:
Will there be outdoor storage or activity associated with the business?
If yes, explain:
If using an accessory building on a lot with a dwelling, Sq. Ft. of structure:
Are structure(s) currently existing? Yes or No
If the activity is a restaurant, what is the total seating capacity?
Visiting clientele?
Frequency and amount:
Is there adequate off-street parking for your use?
How many spaces?
Are there existing signs on the premises of your business?
Signage plans?
Amount, type and size of vehicle(s) to be used including trailer(s):
For Home-based business only: Will there be exterior display or storage of goods on the premises? If yes, explain:
For Home-Based business only: Other than those related by blood, marriage or adoption, will more than five people be employed on the premises?
Applicants Certification: I certify that the information stated in this box is true and accurate. Should a Preliminary Business License Zone Clearance be issued, I understand that any permit for a building, business license or use issued on the basis of this clearance authorizes only the use, arrangement and construction set forth hereon and only in accordance with applicable State and County regulations. I also understand that this is not a business license and that I cannot begin operation of the business until an approved business license is issued.
Applicant's Signature:
For an approved business license you must submit this approved application, license application and fee to our office (6 working days to process).
REVIEW
Planning & Zoning Department
STATUS: *
COMMENTS:
ZONING OFFICIAL:
DATE:
BUILDING INSPECTION:
DATE:
* DECISION MAY BE APPEALED TO THE DUCHESNE COUNTY COMMISSION WITHIN 45 DAYS WHICH TIME RUNS FROM THE DATE OF THIS DECISION.