2. Chapter 122 of the Code of the Borough of Seaside Heights requires any person or corporation engaged in, conducting or operating any business within the limits of the Borough to secure a license for the business and pay an annual fee. All licenses granted by the Borough shall expire on the 31st day of December of each and every year without regard to the time when issued.
4. Name
5. Date of Application
   Date of Application
6. Mailing Address
8. City
9. State
10. Zip Code
12. Home Phone
13. Business Phone
14. Name of Corporation
16. Trade Name
17. Address of Premise to be Licensed
19. Date Business Will Commence
    Date Business Will Commence
20. Description of Business
22. (If Restaurant) Type of Food Sold
23. Name of Licensee and Previous Business Conducted at This Address
25. If Engaged in a Retail Food Business, Have You Applied for Inspection of the Premises and Equipment by the Ocean County Board of Health?

    1. Yes

    1. No

    O.C. Board of Health Telephone: 732-341-9000
27. Have You Secured a Certificate of Occupancy?

    1. Yes

    1. No

    If This is a New Building, a Certificate of Occupancy Must be Issued Before Business Can Commence.
29. Have You Secured a Change of Use Permit?

    1. Yes

    1. No

    A Change of Use Permit Must be Issued Before Business Commences in Any Reconstructed Building.
31. Signature of Applicant
Leave This Blank:


33. Submit

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