The City of Mount Holly, NC Official Website
Name of Applicant
New Application Renewal
Name of Business
Type of Merchant
Type of Business
The following information must be furnished before the license will be issued:
Choose Business Organization
If Individual or Partnership, list names and addresses below. If Corporation, list the names and addresses of the President and Secretary below.
Alternate Phone Number
Name of Business Manager
List Any Other Names Used
List the Names and Addresses of Any Other Business You Own or are Associated With
If New Business, State the Exact Date Operation Began
Name of Previous Business Located at This Address
Number of employees, Part-Time and Full-Time (including owner), as of July 1st
If contractor, list NC License Number
If restaurant, List No. of Seats
If hotel or motel, List No. of Rooms
If manufacturing, List No. of Employees
If manufacturing or assembling of any item or commodity/tax based on number of employees including office and owners.
“By signing this application, it is understood that the applicant that the issuance of a privilege license hereunder does not constitute acceptance or approval of the use of the above named location as having compiled with existing zoning regulations, building codes and/or fire protection code. A Licensee shall remain fully liable and responsible for bringing the premises in conformity with all applicable City and State Codes.”
I solemnly swear or confirm that the statements made in the foregoing application are true to the best of my knowledge and belief.