City of Apache Junction 
               
                 300 East Superstition Blvd, Building C Apache      Junction, AZ 85119  (480) 474-5050 
                 www.apachejunctionaz.gov busi           ne    sslicense@apachejunct onaz.govi     

   BUSINESS LICENSE APPLICATION / ZONING REVIEW FOR M
                                             $50.00 license fee 
 
  This application must be approved and a license must be issued before you may lawfully engage in business 
                                       in the City of Apache Junction. 
   
   A separate license is necessary for each business location and each type of business. See City of Apache 
  Junction City Code, Volume I, Chapter 8: Business, Article 8-2: Specific Licensing and Registration Provisions, 
                                   § 8-2-3 General Rules for specific information. 
   
                      There is no city application or fee for single family residential rentals. 
   
   Complete this application and return with the $50.00 fee per business activity to the City Clerk’s Office 
                 for review and approval. Business licenses are to be renewed annually. 
                                                 TYPE OF LICENSE  
 Type:  1.    Business   /  Nonprofit 
                              
                                  
   2.   New business to AJ   /  New owner of existing business  /  Update or renewal   /   Location change 
                                                                                                      
                                                                                                                                                           
                                             BUSINESS INFORMATION 
 Legal Business Name:                                                                                                                                        
 Doing Business As (DBA):                                                                                                                                     
 Business Physical Address:                                                                                                                                _   
 Business Phone No.:                                  Ext:                   Bus Fax No.:                                                                   
 Applicant Email:                                                                      
 Federal Tax ID No.:                                    AZ TPT License No.:                                                                                 
 Start Date of Business in Apache Junction:                             
 Business Mailing Address:                                                                                                                                  
  
                                       PRIMARY CONTACT INFORMATION 
   Primary Contact Name:                                               Title:                                                                               
   Phone Number:                                                                 Ext:                                                                       
 
                                                 for city use only: 
 Business License: Paid: $              Date:            Cash   CC   Check (circle one) Batch No.:                                                          
 Accepted by:                          Date to Zoning:               Business License No.:                                                                  
                                                                
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   B:\Applications\BL and Zoning Review Form 2021 12.27.21.docx
                                                           

                City of Apache Junction 
                
                300 East Superstition Blvd, Building C Apache            Junction, AZ 85119  (480) 474-5050 
                www.apachejunctionaz.gov busi           ne    sslicen     se@apachejunct onaz.govi   

                           BUSINESS OWNERSHIP AND TAX RECORD LOCATION  
 Type of Ownership: 
 Corporation  -  Govt    -    LLC    -  LP  -  Nonprofit  -   Partnership    -    Individual/Sole Proprietorship    -    Trust 
                                                                                                                                                                               

 Legal Owner 1 Name:                                                                     Title:                                                                                          
 Legal Owner 1 Phone Number:                                                              Ext:                                                                                           
 Legal Owner 1 Address:                                                                                                                                                                   
 Legal Owner 1 Social Security #:                                             Percent Owned:                                                                                             
 Legal Owner 2 Name:                                                                     Title:                                                                                          
 Legal Owner 2 Phone Number:                                                              Ext:                                                                                           
 Legal Owner 2 Address:                                                                                                                                                                   
 Legal Owner 2 Social Security #:                                             Percent Owned:                                                                                             
 *for additional owners, please attach a list with the above information 
 Location of Tax Records:  
 Name:                                                                                                                                                                                   
 Address:                                                                                                                                                                                
 Phone No.:                                                      Ext:                                                                                                                    
 
                                              BUSINESS TYPE 
 Describe Nature of Business:                                                                                                                                                           
 AZ ROC License No.:                                     AJ Business Code:                                                                                                              
 NAICS Code:                                     Search at https://www.census.gov/naics/ 
                                                                             
 Do you sell, store or handle any hazardous materials?  Yes                  No    
 If yes, attach itemized list showing quantity & MDS sheets for each. 
 
                                      BUSINESS PREMISE INFORMATION 
                                                                                                           
 Do you own your business location?  Yes        No              Is this your residence?    Yes          No    
 Approximate square footage of business:                                 _ 
 Property Owner(s):                                                                                                                                                                      
 Property Owner Address:                                                                                                                                                                 
 Property Owner Phone No:                                                                                                                                                                
                                                                                   
 Do you rent a portion of the premises to another entity?  Yes                No    
 
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 B:\Applications\BL and Zoning Review Form 2021 12.27.21.docx
                                                          

               City of Apache Junction 
            
            300 East Superstition Blvd, Building C Apache          Junction, AZ 85119  (480) 474-5050 
                www.apachejunctionaz.gov busi         ne      sslicense@apachejunct onaz.govi  

           ONLY FOR BUSINESSES LOCATED WITHIN THE CITY OF APACHE JUNCTION  
                                                
  Are you a home based business?   Yes           No    
    If yes, also complete a Home Based Business Form. Development Services must review & approve applications  
    for home based businesses. 
  Business Physical Address:                                                                                
  Zoning District:                 Parcel #:                                                                
  Brief description of the proposed use and business activities which will be conducted at the location: 

  Days of Operation:                                                                                        
    
  Hours of Operation:                                                                                       
                                                
  Will there be outside storage?          Yes    No    
  If yes, describe where it will be on the property and what will be stored in it:                        
                                                                                                            
  Describe any planned signage including sign dimensions and location. Refer to City Code, Volume II 
  Chapter 1 Zoning for regulations as some signs require a permit.  
                                                                                                            
                                                                   
  Will there be alcohol sales or distributions?   Yes           No    
                                                                                 
  Will there be any detectable odors generated by the business?  Yes               No    
  If yes, please describe:                                                                                 
  Provide information on the frequency of deliveries:                                                      
  Describe any outdoor business activities:                                                                
  AZ DLLC No.:                                                                                             
  List any remodeling or expansion for this use, include electric & plumbing (permits are required from 
  Development Services for most improvements): 

  Project Manager Name:                                                                                     
  Phone Number:                                                 Email Address:                              
    
  Project Manager Address:                                                                                   
           For zoning use only:  Approved by:                                            Date:__________ 
                                                               
                                                       3 
  B:\Applications\BL and Zoning Review Form 2021 12.27.21.docx
                                                        

              City of Apache Junction 
              
              300 East Superstition Blvd, Building C Apache       Junction, AZ 85119  (480) 474-5050 
                  www.apachejunctionaz.gov busi       ne     sslicense@apachejunct onaz.govi  

                                SIGNATURE & ACK OWN                EDGL EMENT 
  
  I certify that the statements made in this application are true and complete to the best of my 
  knowledge. I accept the license authorized and issued in response to this application with the 
   condition that I will meet any and all legal requirements applicable to the operation of             this 
                  business as found in federal, state and local laws and  ro dinances. 
  
     All businesses located in the city must comply with all ordinances/regulations and 
     requirements affecting public peace, health and safety. The city of Apache Junction has 
  adopted building codes and a zoning ordinance which regulate construction standards within 
 the city limits. The 2018 IBC, as adopted, requires that if a change of occupancy classification as 
 it relates to the uniform building code is intended, a permit and a certificate of occupan            cy must 
  be obtained from the building division. Should you intend to do any work in  e th buildin ,g  such 
     as any remodeling or work creating a change in the floor plan or any workrequiring a 
 construction permit, including the erection of signs or site improvements, perm              itsare required. 
  As the business license holder, it is your responsibility to determine these requirements and 
   comply with them. If you have any questions regarding permitting requirements, please 
  contact the Building Division at (480) 474-5156. The granting of zoning clearance shall not be 
   const u d r e to be approval of any violation of the provisions of any applicable city codes. I 
  understand  that the approval of this certificate does not relieve me from complying with the 
                                    provisions of any applicable  
                                             city code. 
 Print Name:                                                            Title:                                  
  
 Signature:                                                             Date:                                   
  
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  B:\Applications\BL and Zoning Review Form 2021 12.27.21.docx