“SCHEDULE TI"

All other licenses:

Up to two (2) employees ...ecasceee $ 50.00
Each employee over two (2) .csacsscceccces 10.00

Maximum Fee .icsscccccoccccucnnsccceccvens 500.00

2272 WeALLInter Avenua, Port Coqulidan
)
AVPLICATION FOR BUSLUESS LACENCH
70; The Licence Inupector FLLE NO:
OL The City vf lore Coquitlam

Application Ja made herevsth for a BusIness Licence in support of which the following
anformattlon concerning the applicant is submitted, .

*

Business Trade Nawe (Corporate or T'erson)

Xf Corporate, President's Name:
President's Address:

Business Location:
Business Mailing Address: Telephone #

Applicant's Name (full) Business Capacity of
Applicant's Mailing Address (home) Official Applying:
: Telephone:
Date of Birth Social Insurance #
Number of persons engaged in business, Principal Regular Part-Time

Full description of business activity intended:

Floor area (sq. ft.) Rent per month:
. Commencement date: Certificate Number:

A [] RESIDENT BUSINESS

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“8B [J NON-RESIDEND BUSINESS m,
« (Contractor, etc.) Certificate Number If applicable

c L_] RENTAL UNITS .
New Licence: Type of rental unit Rooms
Re-~application: Hotel Suites: Bachelor
Transfer From: Purpose design apartments 1 Bedroom
: Other (describe) 2 Bedroon
3 Bedroom

Name and Address of Manager:
Telephone Number:

Barbers & Beauty Parlours: No. of Chairs: No. of Operators:
Pool. Rooms & Bowling Alleys: No. of Tables: No. of Alleys:
Vending Machines: lc.. only machines: Cther Machines:

EXTRACT FROM BUSINESS LICENCE BY-LAW 1237

NOTE: The applicant for a Jicence for a first ¢ime and Gach time required by the Licence
Inspector shall be in form of Schedule 'B' attached to and made part of this By-Law and
the applicanc therefore shall deliver a statement in writing to the "Licence Inspector"
giving the-character and extent of the intended business, including the address, nucber
of persons to be engaged, distinctive lines of merchandise to be carried on, a descriprion
in detail of any public area or City facilities over which the applicant required use or
occupancy for the purpose of che business, and any other jnforuation required by the
Licence Inspector, and no person to whem a licence has been erenucted shall carry on such a
bus3ness in or vpon any promises or area other than those sect forth in the sald Licence

or transfer of the said licence,

KOTE: A411 licences must buar the written approval of the Licunce Inspector

sanpectionss Building Fire Health Zone