CITY & BOROUGH OF YAKUTAT 
                            BUSINESS LICENSE APPLICATION 
                                            2021 / 2022 
City & Borough of Yakutat                            State of Alaska Business License #___________ 
Tax & License Department                             ___ 1 Year…$25.00.     
P. O. Box 160, Yakutat, AK 99689                     ___ 2 Years $50.00.  
Ph. 907-784-3323 ext. 106, Fax 907-784-3281          Check payable to: City & Borough of Yakutat 
cbytaxes@yakutatak.us                                Funds are non-refundable. Fill in all blanks.  
 
Business Name ___________________________________________________________________________ 
                            Name must match the name on the State of Alaska business license  
Mailing Address: ____________________________________________________________________ 
City ____________________________________________ State ____________ Zip _____________ 
Phone Number__________________Fax #______________________Toll Free___________________ 
Is this the same address that the Sales Tax Return will be mailed to? ___Yes ___No. If No, then fill in 
the address where the Sales Tax Return will be mail to: ______________________________________ 
__________________________________________________________________________________ 
Physical Location of Business _________________________________________________________ 
E-Mail Address_______________________________ Web Page______________________________ 
LINE OF BUSINESS: _________________________________Activity Code___________________ 
                      (Please use the State of Alaska Lines of Business & Activity lists.) 
If a permit and/or professional licenses are required, list the type of license, name of license holder & number. 
________________________________________________________________________________________ 
What Zoning district of business location? 
C__CR___I___LI___P___R1___R2___R3___RR___NA___OTHER_________________________ 
Conditional Use Permit or a Zoning Compliance Permit Required? YES______NO_____ 
If you are not sure what zone your business is in or if you need a CUP or ZCP please contact P and Z. 

Check all that apply: Sales Tax 5%___ Transient Accommodation Tax 8%___Vehicle Rental Tax 8%                                 ___ 
                                                                                                                                 
Business is: (Check One) 
 
□Corporate Corporation Name _____________________________EIN: _________________________ 
 
□Sole Proprietorship (One Individual)                              
     Name____________________________SSN__________________________DOB____________ 
 
□Partnership (Provide the SSN of the first two partners, if there are more than two; attach a complete 
 list of partners and their information on a separate sheet. 
 Partner     ________________________________________SSN_____________________________ 
This application must be signed & dated by the natural person completing this application on behalf of the business and 
state the person’s title of position in the business. I declare, under penalty of perjury, that this application is true and 
complete. 
_______________________________ _____________________________ _______________  ______________ 
Signature                               Printed Name                        Title              Date  

                                   FOR DEPARTMENT USE ONLY 
Receipt #__________Initial____Paid___New___Renewal___CBY License__________ST BL____________