CITY OF LAWRENCEBURG Occupational License Application/Affidavit Fiscal Year: ______Every person, firm, or corporation doing business within the corporate limits of the City of Lawrenceburg shall submit an application for such license per chapter, of the City of Lawrenceburg Code of Ordinances. The application shall be an affidavit, to be sworn before a notary Public. Instructions: Please mark and (X) each entity that applies to your business or operation. Those that do not apply leave blank. Where applicable, indicate the number of machines, sales-persons, billiard tables, and barber chairs, etc. (i.e.: No billiard table machines 4). Upon completion please sign, date, have notarized, and return to: Lawrenceburg City Clerk P.O. Box 290 Lawrenceburg, KY 40342 For further assistance, please call the City Clerk at (502) 839-5372 Accountant Dentist Monuments Advertising Directories Mortuary Agents Distilled Spirits Mowing Alcoholic Beverages Doctor-Medical Music Stores Alcoholic Beverages Dry Cleaning Music Merchants Alcoholic Beverages Electrical Appliances Neon Signs Alcoholic Liquor Dist Electrician Newspapers-Printing Amusement Embalmers Newspaper Subscriptions Animal Shows Engineers Nursery Answering Service Exhibitions, crafts, etc Nursing Homes Antique Dealer Exterminators Oculists Apartment Complex Farm Machinery Office Equipment Apartment Complex Feed Dealers Opera House Architects Fertilizer Plants Opticians Attorneys-at-Law Filling Station-gasoline Optometrists Auctioneers Finance Company Organ Agent Auditors Fireworks Osteopaths Automobile-Car Wash Florist Painters/Paper hangers Automobile-Paint/Body Shop Food Lockers Parking Lot garage Automobile Mechanical Repair Fortune Tellers Pawnbroker Automobile Rental Frame Shops Peanut Machine Automobiles, trucks; dealers or demo Frozen food locker Peddlers Automobiles, trucks; dealers or demo Fruit Stand Periodicals Bait Shop Funeral Director Personnel Services Bakery or Baking Shop Furniture upholstering Pest-control Operators Banks-Branch Garage, body repair Pet Shop Banks-Primary Garbage Collection Pharmacy Barber Shop Gas bottle Photographers Barkers Gas fitter Physicians Beautician, barber, cosmetologist, etc. Gasoline Dealer wholesale Piano or Organ agent Beauty Shop Gasoline pumps Picture Show Billboard, maintaining Gift, novelty Shop Pinball Machines Billiard Parlor Grain Dealers Plumber Bingo Parlors Grain Storage Pool Tables Blacksmith Shop Greenhouse Popcorn Machine Boardinghouse Groceries Prepackaged snacks/sodas Bondsman, Surety Bonds for profit Groceries Retail Printing Plant Book/Card/Novelty Store Gunsmith Private Detective Bottled gas; gasoline; kerosene, etc.-Retail Hardware Produce Dealers Bottled gas; gasoline; kerosene, etc.-Wholesale Hatchery Professional Bondsmen Bowling Alley Hauling/Trucking for hire Professional Persons Boxing/Wrestling Haunted House Radio Broadcasting Studio Hay, grain or feed Real Estate Salesman Broker Livestock Headstones Real Estate Agent-Broker Building Materials Health Spas/gyms Recreation Halls Burial Vaults Hides Refrigerators Bus Station Home improvement Repair Shops Business/Office machines Hospitals Rest Home Cabinet Maker Hotel, motel Restaurants Candy, Newsstand, etc. Hotel, motel, B&B Retail Stores Car or Truck wash-1st Unit Hypnotist Rug Cleaning Car or Truck wash-Addt. Unit Ice Savings & Loans Carnivals, Street Fairs, Events, etc. Ice Cream Truck Scales, weighing service Catalog Sales Store Insecticide exterminator Secondhand Dealers Catering Insurance Agents Security Agent Chicken Hatchery Interior Decorator Septic Tank Service Chiropodists Itinerant auctioneers Service Station Chiropractors Itinerant Merchants Shoemaker/Shoe Repair Christmas Tree Sales Janitorial Shooting Gallery Cigarettes, Tobacco Products Jeweler Traveling Shows Civil Engineers Job Printing Signs Clairvoyant Juke boxes Skating Rink Clean Towel/Linen Service Junk Dealers Slaughterhouse Cleaning Carpet Landscaping, tree trimming Soft Drinks-Non Alcoholic Cleaning Service Laundromat Solicitors Cleaning, pressing/Laundry Laundry, dry cleaning Spielers, barkers, entertainers Cleaning/Laundry Pickup Lawn Care-Non Chemical Sporting Goods Coal Dealers, retail Lawn Care-Chemical Storage Lockers Coin Operated Machines Lawyer Street Vending Coin Operated Machines Liquor Dispensary Subscription Solicitors Coin Operated Machines Liquor by the drink Surgeons Coin Operated Machines Loan Companies Tanning Bed Coin Operated Machines Lockers Tattoo Parlor Collection Agency Locksmith Tax Consultant Computer programmer Lumber & Building Material Taxi Cab Computer Service Lunch Stand/Restaurant Telephone Service Concrete-Ready mix Machine Shop Television Broadcasting Contractor – Primary Magazine Salesman Termite Exterminator Contractor- Sub Magazine, newspaper/book agent Theatre Country Produce-Buyer/Dealer Manicurist, nail tech Tinner Creamery products Manufacturing plants Tombstone Credit/Collection Agency Massage Therapist Tourist Home-Boarding House Dairy Products Meat Market Tractor Pulls Dance halls Mercantile retail Trailer Courts Day Care Mercantile Wholesale Training/Exercise Classes Delivery Service-Per Vehicle Mobile Homes Travel Agency Dental Laboratory Money lenders Tree Trimming Truck Pulls Truck Dealers Trucking Unclassified Business Undertaker Uniform rental Unloading Upholstering Service Used Automobile Parts Utilities Vehicle Rentals Vending machines Vermin Exterminator Veterinarians Video Rental Videography Warehouse Rental Washing Machines Weighing Service Welding/machine Shop Wholesale Distributorship Wholesale Mercantile Wood Preserving Woodworking Shop Wrecker Service I hereby affirm that the above, to the best of my knowledge, represents the business license requirements for:

Business Name: ______

Address: ______

City: ______State: ______

Zip Code: ______Phone: ______

Signature: ______Date: ______