Required fields are marked with asterisks (*)

Renewal Restaurant Licence Application

By-law 117-2004

Please note that there is a $175 fee required upon completion of this form. You may also print and fill out this application to pay at Town Hall.

If you have made changes to your existing restaurant or if you have a new restaurant, please click here to be re-directed to the Restaurant Licence Application.

Date of Application:

Applicant's Legal Name or Corporation Name or Number:

Operating as Business Name:

Email:

Phone Number:

Business Address:

Business Postal Code:

Mailing Address (if different from above):

Mailing Postal Code (if different from above):

Personal information collected on this form is collected pursuant to Section 151, Municipal Act S.O. 2001, c.25, as amended, and will be used for the purpose of processing your application. Questions about this collection should be directed to the Admin/Licensing Assistant, 87 Broadway, Orangeville, ON L9W 1K1, 519-941-0440, Ext. 2239.

The undersigned hereby releases the Corporation of the Town of Orangeville from any or all claims for damages which may arise in the carrying on of business within the Municipality under which the undersigned is licensed by the Municipality to do so.

How would you like to receive your licence?

I would like it mailed (please allow 5 business days for processing, excluding Canada Post delivery time).

I will pick up at Town Hall (you will be contacted when your licence is ready).

Consent:

I give my consent for the use and/or disclosure of contact information (telephone number, email address, mailing address) to Town of Orangeville representatives for the purpose of business outreach communications.

I certify that the information contained herein is true and correct.

Yes

Signature:

Clear

Employee Wellness Fair

Renewal Restaurant Licence Application

By-law 117-2004

Stay Connected with Orangeville

Employee Wellness Fair

Renewal Restaurant Licence Application

By-law 117-2004

Stay Connected with Orangeville

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