General Business License Application/Renewal

$50.00 Annual Fee

5490 Fifth Street - Cottleville, Missouri 63304

636-498-6565

[email protected]

Please print all the information clearly.

Email Address

DBA Business Name

LLC/Corporation Name

Business Address

Mailing Address:

Nature of Business

Number of Employees

Business Phone

Fax:

Email:

Business Website:

Business Owner’s Name:

Business Owner’s Address & Phone Number:

Name of Local Manager:

Manager Phone No:

Federal EIN No.:

Sales Tax No:

Check List – Attach Copies of the following REQUIRED ANNUALLY

Incomplete Appliactions will be returned & not Accepted

$50.00 Annual License Fee Payable to “City of Cottleville”;
Copy of Driver’s License or Picture ID of Owner or Local Manager;
Copy of Missouri Retail Sales Tax License stating your business is inside the “City limits of Cottleville”;
Copy of Recently Dated, No Taxes Due Letter from Missouri Department of Revenue with "Cottleville" listed in the upper right.
573-751-2836 – www.mytax.mo.gov
Complete Cottleville Police Department Emergency Contact Form;
Copy of City of Cottleville Approved Final/Occupancy Inspection – (Only For New Businesses OR Change in Ownership).
Late Fee(s) - $25.00 per month: not to exceed $150.00 (Renewals are due 12/31 of each year);

NOTE

Insurance for Workers Compensation Coverage for any Employer with five or more employees or any construction business with one or more employees (is required pursuant to Chapter 287RsMo);

All City of Cottleville Applications can be found at www.cityofcottleville.com, under “forms, permits, and licenses”.

* Old Town Historic District - ALL New Businesses or Usage Change require an approved Conditional Use Permit.
ALL new signage or exterior building changes require an approved Certificate of Appropriateness.
Site Plan/Zoning approval may be applicable to new businesses, Contact City Hall.
A New Build, a Tenant Finish, and New Signage all require a permit(s).

The information given above & attached is true and correct to the best of my knowledge.

Signature of Owner /Authorized Person

Print Name

Title

Date

Cottleville Police Department

Emergency Contact Form - Commercial

5490 Fifth Street - Cottleville, Missouri 63304

636-498-6565

[email protected]

NOTE

Insurance for Workers Compensation Coverage for any Employer with five or more employees or any construction business with one or more employees (is required pursuant to Chapter 287RsMo);

Please notify the Cottleville Police Department Records Division as soon as possible of any changes to the information below.

Please print all the information clearly.

Email address

Bane Of Business:

Date:

Address

State:

ZIP Code:

Type Of Business:

Usual Hours Of Operation:

( Monday - Thursday )

Friday

Saturday

Sunday

Type pf Alarms: (Check all that Apply)

No Alaram Burglary Hold Up Fire

Other:

Name of alaram Company:

Phone:

Owner/Manager Information

Name of Owner/Manager:

Mobile Phone:

Address:

City:

State:

ZIP:

Home Phone:

Emergency Contacts with keys to business

Contact First:

Mobile Phone:

Home Phone:

Contact Second:

Mobile Phone:

Home Phone:

Contact Third:

Mobile Phone:

Home Phone:

About Cottleville

Business

Public Works

Pavilion A

Pavilion B

Pavilion C

Pavilion D

Pavilion 1

Pavilion 2