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2. 
4. NOTE: There is a $200 fee for each permit.
6. Date submitted:
8. Business name:
9. Business address:
11. Applicant's name:
13. Phone number:
14. Cell phone:
15. Email:
17. Vehicle make:
18. Model:
19. Year:
20. Tag number:
22. Vehicle make:
23. Model:
24. Year:
25. Tag number:
27. Vehicle make:
28. Model:
29. Year:
30. Tag number:
32. Pursuant to Part 7 Chapter 16 I agree to abide by all regulations?

    1. Yes
    2. No
36. Steps in the application process prior to application for a business license:
38. 1. Do you have Fire Marshall approval?

    1. Yes
    2. No
40. 2. Do you have South Carolina retail license?

    1. Yes
    2. No
41. 2a. S.C. retail license number:
43. 3. Copy of Department of Health approval?

    1. Yes
    2. No
45. 4. Copy of automobile license insurance?

    1. Yes
    2. No
46. 4a. Policy number:
48. 5. Vendor (driver is 18)?

    1. Yes
    2. No
49. 5a. Copy of driver's license?

    1. Yes
    2. No
51. 6. City of Beaufort business license?

    1. Yes
    2. No
52. 6a. Business license account number:
54. Comments:
56. Ready for fire marshall inspection?

    1. Yes
    2. No
57. When?
59. City Fire Marshall John Badgett can be reached at 843-379-7518, jbadgett@cityofbeaufort.org, to schedule an inspection.
61. 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.
63. Electronic Signature
67. FIRE MARSHALL USE ONLY:
69. Date approved:
70. Approved by:
72. Proof of insurance:

    1. Yes
    2. No
73. Driver's license number:
Leave This Blank:


75. 1. Receive an email copy of this form.
76. Email address

    This field is not part of the form submission.

77. Submit

* indicates a required field