Form Center

2. 
3. Business License Application

   City Clerk Jennifer A. Zelmanski

   (586) 445-5443

5. BUSINESS/OWNER INFORMATION
7. Business Name*
9. Type of Business*
11. Business Owner Name*
12. Email Address*
14. Owner Home Address*
16. Owner Home City*
17. Owner Home State*
18. Owner Home Zip Code*
20. Business Address*
22. Business City*
23. Business State*
24. Business Zip Code*
26. Business Phone Number*
27. Owner Contact Phone Number*
31. BUILDING OWNER/EMERGENCY INFORMATION
33. Building Owner Name*
34. Building Owner Email Address*
36. Building Owner Address*
38. Emergency Contact Name*
39. Emergency Contact/After Hours Phone Number*
41. Building Owner Phone Number*
42. Emergency Contact/After Hours Email*
44. Type of Application*

    Please select the type of application $40 Fee :

    1. Existing Business Renewal
    2. New Business

    1. New Owner
    2. Business Name Change
46. License Information

    Annual License Period is February 1 through January 31.  Completion of this application and payment of fees does not constitute the approval of a Business License.  Per Chapter 187 of the City of Roseville Code of Ordinances, approval from the Building Department and the Clerk's Office is required before a License may be issued.  If approved, a license will be mailed out the business address provided on the application.

48. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
50. Electronic Signature*
52. Title of Signer*
53. Date*
55. Non-Electronic Submittal Instructions

    If you choose to print this application, please mail or hand deliver it to the City Clerk's Office- City of Roseville- 29777 Gratiot Avenue, Roseville, MI  48066.

    License will be issued by the City Clerk if approved.

Leave This Blank:


61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

* indicates a required field