OCCUPATIONAL / BUSINESS  

                                                  LICENSE APPLICATION 

                                                                               City of Hillview, 283 
                                    Crestwood Lane, Louisville, Kentucky 40229 
                                                  Office: (502) 957-5280       Fax: (502) 955-5673 
                               
Business Name:        ___________________________________________________________________________ 

Business Address:     ___________________________________________________________________________ 

City:                 ___________________________________________________________________________ 

State:                __________________________  Zip:   ____________________________________ 

Applicant Name:       ____________________________________________________________________________ 

Applicant Address:    ____________________________________________________________________________ 

Federal ID #:         __________________________________ SSN:                 ______________________________ 

Number of Employees: __________________________________  Email:               ______________________________ 

Corporate Officers:   __________________________________ ____________________________________ 

__________________________________  ____________________________________ 

NOTE: You are responsible to remit 1.8% occupational tax on all gross wages paid. If you have no employees, you will 
be taxed on your net profits. 

Vendors: Describe merchandise sold: 
______________________________________________________________________________________________ 

______________________________________________________________________________________________ 

Emergency Contact Person:     ____________________________________________________________________ 

Billing Contact Person:       ____________________________________________________________________ 

Daytime Phone Number:         _________________________  Evening Phone Number: _____________________ 

               OCCUPATIONAL / BUSINESS  

                                      LICENSE APPLICATION 

                                                              City of Hillview, 283 
                                     Crestwood Lane, Louisville, Kentucky 40229 
                                      Office: (502) 957-5280   Fax: (502) 955-5673 
             
I hereby understand the City of Hillview is in an exclusive contract with Waste Management. It is my 
responsibility to notify Waste Management that my business is within the city limits of Hillview and 
that I receive Hillview pricing. If I overpay due to the fact Waste Management is not aware that I am 
located within Hillview, I may not receive a refund. 

  I hearby certify that all of the information and statements contained herein are true and 
accurate. 

____________________________________ _________________________  __________________ 

Signature                                            Title      Date