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Business Licence Application Form
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City of Maple Ridge Updated May 2017
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7440 Fax: 604-467-7445
Email inquiries: licencesandbylaws@mapleridge.ca Web Site: www.mapleridge.ca
□ COMMERCIAL/INDUSTRIAL □ HOME BASED □ NON RESIDENT
□ NEW □ INTER-MUNICIPAL LICENCE ($250) □ CHANGE OF BUSINESS NAME
□ CHANGE OF OWNER ($50 COMMERCIAL) □ CHANGE OF LOCATION ($50)
SECTION A: BUSINESS INFORMATION. TO BE COMPLETED BY ALL BUSINESS LICENCE APPLICANTS.
NOTE: BUSINESS INFORMATION IS NOT CONSIDERED PERSONAL INFORMATION AND MAY BE RELEASED IN A PUBLIC DOCUMENT.
BUSINESS NAME
TYPE OF BUSINESS
(FULLY DESCRIBE SERVICES)
PROPOSED START DATE OF
BUSINESS INCLUDE BUSINESS IN
LICENCE DIRECTORY? □ YES □ NO
BUSINESS OWNER NAME
BUSINESS ADDRESS INCLUDING
POSTAL CODE
MAILING ADDRESS
(IF DIFFERENT FROM ABOVE)
TELEPHONE AND CONTACT
INFORMATION *
(*PHONE NUMBERS ARE RELEASED
IN A PUBLIC DOCUMENT)
WORK: FAX:
MOBILE:
EMAIL ADDRESS:
WEBSITE:
NUMBER OF EMPLOYEES
(INCLUDING OWNERS)
FULL TIME:
PART TIME:
CONTRACTORS WITH THE FOLLOWING BUSINESSES, PLEASE PROVIDE COPIES OF YOUR TRADE ACCREDITATION/LICENCE
PLEASE CIRCLE: ELECTRICAL GAS PLUMBING SECURITY
SECTION B: HOME BASED BUSINESS - ADDITIONAL INFORMATION IF YOUR BUSINESS IS OPERATING FROM YOUR HOME IN MAPLE
RIDGE. *** PLEASE NOTE: A HOME INSPECTION IS REQUIRED PRIOR TO ISSUANCE OF LICENCE TO ENSURE COMPLIANCE WITH
ACCESSORY HOME OCCUPATION USE. ***
TOTAL GROSS AREA OF THE HOME (M2) : AMOUNT OF FLOOR SPACE USED
FOR THE BUSINESS (M2):
ARE GOODS, VEHICLES OR EQUIPMENT
STORED ON THE PREMISES? □ YES □ NO
IF YES, PLEASE EXPLAIN:
IS MERCHANDISE SOLD TO THE GENERAL PUBLIC?
□ YES □ NO
IF YES, DOES THE PUBLIC ENTER ONTO THE PREMISES TO COLLECT THE
MERCHANDISE? □ YES □ NO
ARE YOU OPERATING A DAYCARE?
□ YES □ NO
IF YES, NUMBER OF CHILDREN IN YOUR CARE:
Business Licence Application Form
Page 2 of 3
City of Maple Ridge Updated May 2017
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7440 Fax: 604-467-7445
Email inquiries: licencesandbylaws@mapleridge.ca Web Site: www.mapleridge.ca
Business Licences are public records that are available for inspection upon request at the City of Maple Ridge. The City may also use
business licence information, including those of home-based businesses for publication on the City’s website. All information
gathered for business licensing purposes is managed in accordance with the provisions of the Freedom of Information and
Protection of Privacy Act.
SECTION C: COMMERCIAL BUSINESS - ADDITIONAL INFORMATION IF YOUR BUSINESS IS OPERATING FROM A COMMERCIAL OR INDUSTRIAL
UNIT IN MAPLE RIDGE.
ARE YOU MAKING OR HAVE YOU MADE STRUCTURAL
CHANGES/RENOVATIONS TO THE PREMISES /UNIT?
□ YES □ NO
IF YES PLEASE DESCRIBE (PLEASE NOTE PERMITS MAY BE REQUIRED)
TOTAL GROSS FLOOR AREA OF BUSINESS (M2) :
(FEE MAY BE CALCULATED ON M2)
ARE YOU SHARING PREMISES WITH ANOTHER
BUSINESS? □ YES □ NO
IF YES, NAME OF BUSINESS:
ARE YOU OPERATING A COMMERCIAL DAYCARE?
□ YES □ NO
IF YES, NUMBER OF CHILDREN IN YOUR CARE:
IF OPERATING A RESTAURANT/CAFÉ? PLEASE PROVIDE
THE FOLLOWING INFORMATION:
NUMBER OF SEATS IN THE RESTAURANT __________
PLEASE CONTACT THE LOCAL FRASER HEALTH
AUTHORITY IN ORDER TO OBTAIN FRASER HEALTH
APPROVAL
WILL YOU BE HOLDING ANY CLASSES? □ YES □ NO
IF YES:
PLEASE LIST THE TYPE OF CLASSES: ____________________________
MAXIMUM NUMBER OF PARTICIPANTS PER CLASS: __________________
WILL YOU BE SERVING ALCOHOL?
□ YES □ NO
TYPE OF LIQUOR LICENCE (PLEASE CONTACT THE BC LIQUOR CONTROL BOARD TO OBTAIN APPROVAL)
BUSINESS EMERGENCY CONTACT PERSON (FOR RCMP OR FIRE EMERGENCIES AT YOUR BUSINESS)
***PLEASE NOTE – THE PERSON LISTED BELOW MUST BE ABLE TO RESPOND WITHIN 30 MINUTES OF BEING CONTACTED***
NAME: ____________________________________________________ PHONE :__________________________
HOME ADDRESS:_________________________________________________________________________________
I/we the undersigned make application for a business licence in accordance with the information given and declare the stateme nts
are true and correct. I/we understand that a business cannot operate without first obtaining a valid business licence and pay ment of
the application fee does not guarantee the issuance of a licence. I/we undertake, if granted the licence applied for, to comp ly with
each and every obligation contained in bylaws now inforce or which may hereafter come into force in the City of Maple Ridge.
FORM COMPLETED BY : ________________________________________ SIGNATURE:________________________________
POSITION IN BUSINESS:________________________________________ DATE:________________________________
Business Licence Application Form
Page 3 of 3
City of Maple Ridge Updated May 2017
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7440 Fax: 604-467-7445
Email inquiries: licencesandbylaws@mapleridge.ca Web Site: www.mapleridge.ca
FOR OFFICE USE ONLY
BUSINESS LICENCE NUMBER:
PAYMENT RECEIVED: □ YES □ NO
□VISA □MASTERCARD □AMEX □DEBIT □CHEQUE □CASH AMOUNT : $______________
ZONING APPROVAL
DATE: ZONE: APPROVED □ YES □ NO
IF NO, GIVE REASON:
APPROVED BY (PRINT NAME):
SIGNATURE:
INSPECTIONS
BUILDING REQUIRED: □ YES □ NO APPROVED: □ YES
ELECTRICAL REQUIRED: □ YES □ NO APPROVED: □ YES
GAS REQUIRED: □ YES □ NO APPROVED: □ YES
PLUMBING REQUIRED: □ YES □ NO APPROVED: □ YES
FIRE REQUIRED: □ YES □ NO APPROVED: □ YES
HEALTH REQUIRED: □ YES □ NO APPROVED: □ YES
BCLCB REQUIRED: □ YES □ NO APPROVED: □ YES
ISSUANCE
APPROVED BY (PRINT NAME):
SIGNATURE:
ISSUED DATE: DATE MAILED: