Business License Application
Business License Status
| What would you like to do today: |
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| Is this a: |
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| If you are are applying for or renewing a PV liquor License, please select which Series you are applying for |
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Business Name and Physical Location
| Nature of Ownership |
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| Business Street Address (Physical location of the business in the Town of Prescott Valley (cannot be a PO Box) |
5229 North Long Rifle Road
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| is the business location: |
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| Mailing Address (Street name and number only) |
5229 North Long Rifle Road
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| Mailing Address City, State, & Zip Code |
Prescott Valley AZ 86314
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| Business Phone Number |
+19283507725
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| Alternate # (Emergency Phone Number) |
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| Number of Employees |
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| Please choose the most applicable to your business: |
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| Please read carefully through the following list and choose the closest description of your business: |
CONTRACTOR GENERAL
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| Will your business be selling or serving alcohol? |
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| Start of business date |
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| Locations where the business or applicant has operated during the last 5 years: |
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Individual/ Sole Proprietor Owner Information (Eligibility Form)
| *Check the boxes next to the document you are presenting to the Town, indicating lawful presence |
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