CITY OF CAMERON APPLICATION FOR OCCUPATION LICENSE Business Name: Business Address: Business Telephone: Missouri Sales Tax Number: Description of Business: Applicant’s Name: Home Address: Home Telephone: Gross Receipts (please check one) Range Fee Range Fee $0 To $24,999 $10 $200,000 To $499,999 $40 $25,000 To $49,999 $20 $500,000 & Over $50 $50,000 To $199,999 $30 (Fee for an initial occupation license is $10. Renewals are based on gross receipts.) No license will be issued unless you comply with all City Ordinances, including but not limited to, Zoning Regulations, Nuisance Ordinances and Fire Codes. Also, you must not be delinquent in the payment of Real Estate or Personal Property Taxes. Each applicant for a license agrees to allow the City to inspect his/her place of business prior to issuance of the license and thereafter to determine if license is in compliance. Any licensed business found to be in violation of a City Ordinance is subject to license suspension and/or revocation. Signature of Applicant Date