APPLICATION FEE:  $50.00 
                                                                                          Sign Permit: + $50.00 

                                                                                    Account #: ___________ 
           BUSINESS LICENSE AMENDMENT 
                                                                                          Official use only 
           APPLICATION 

USE THIS APPLICATION IF: 
 business ownership changes or business name changes
 an existing business wants to use outside space not previously included on the original
  business license
 an existing business with a valid Hailey business license would like to share its space with
  other businesses.

PLEASE NOTE: 
 incomplete applications will not be processed and will be returned to the applicant
 additional information may be requested by any department as required
 If an existing business is changing location, then a new business license application is
  required

Existing Business License Information 

Business Name: 

Owner Name:  ____________________________________________________________  

Physical Address:   

Mailing Address:   

Phone #:   

Description of Business Conducted:   
______________________________________________________________________________ 

Amendment or Additional Business to be added to Existing License 

Business Name:   

Doing Business As: 

Owner Name:  ____________________________________________________________ 

Mailing Address:  

Phone #:                                                      Email: 

Emergency Contact & Phone #:  

Description of Business Conducted:  

______________________________________________________________________________
Please complete and sign page 2 of this application 
WWW.HAILEYCITYHALL.ORG   115 S MAIN ST   HAILEY, ID 83333   (208) 788-9815   FAX (208) 788-2924

15/03/BUSINESS LICENSE AMENDMENT (03/04/14)                                                        Page 1 of 2

                                                                                       APPLICATION FEE:  $50.00 
                                                                                                Sign Permit: + $50.00 

1. Please describe the changes which have led to your request for an amendment to your business
   license. Please be specific. (Use reverse side if necessary.)

2. Change in use?                                                               Yes                 No         

3. Do you intend to remodel or alter the exterior or
   interior space in any manner?                                                Yes                 No         

   If yes, please briefly describe the proposed improvements.

   NOTE: A building permit may be required.

4. Will any outdoor areas of your business premise or the sidewalk in front of it be used for sales,
   displays, vending stands, tables, seating, or storage? Yes                             No        

   If yes, please attach a diagram of the business property identifying and showing the location of these areas in
   relationship to pedestrian traffic, parking, ingress, egress, disability access, and structures (fences, sheds,
   buildings, tents, etc.).

5. Change in signage or adding signs?                                           Yes    No                      
   If yes, please attach the following (including this information, with an additional $50 fee, will constitute a sign 
   permit application):

        A picture of the building or simple drawing showing the length of the front of the building and the location of 
   the sign on the building or property. 

        Colored picture or drawing including:  color(s) of sign, dimensions of all sign faces, descriptions of materials 
   to be used, and manner of construction and method of attachment.   

        For portable signs, method of weighting or anchoring of sign. 

        For portable signs to be located within the public right-of-way, a site plan specifying the right-of-way, the 
   adjacent property, and the location of the proposed portable sign. 

        A lighting plan for the sign, if applicable. 

        A copy of a State of Idaho Electrical Installation Permit for any internally lit or neon sign (Idaho Division of 
   Building Safety (208) 334-3950 http://dbs.idaho.gov/Permit_Forms/permit_app.pdf). 

Applicant Signature:                                                            Date:  

WWW.HAILEYCITYHALL.ORG   115 S MAIN ST   HAILEY, ID 83333   (208) 788-9815   FAX (208) 788-2924

15/03/BUSINESS LICENSE AMENDMENT (03/04/14)                                                           Page 2 of 2