April 23, Dear Village of Lisle Business Owner:

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1 April 23, 2018 Dear Village of Lisle Business Owner: It is time to renew your Village of Lisle Business Registration. The renewal fee is discounted to $25 if submitted on or before Friday, June 15, If submitted after June 15 th but prior to July 1 st, the regular fee of $30 is due. Late fees will apply to any and all businesses that do not submit the payment and completed registration form on or before Friday, June 29, If mailing your renewal, the postmark date is the submitted date. While all businesses must submit a completed registration form, the fee is waived for businesses that have paid for a current Village business license other than vending machine licenses. The following entities are exempt from the registration requirement: educational, governmental, religious, and political organizations. Even though exempt, these entities are highly encouraged to submit a completed registration form (the fee is waived for exempt organizations who choose to register). It is important to note that even if an organization is exempt, all security alarms are required to be registered with the police department. Completing and submitting the enclosed registration form satisfies this requirement. Please complete the enclosed registration form and submit it along with the applicable fee to the Village of Lisle Business Office, 925 Burlington Avenue, Lisle, IL As an alternative, you may go to the Business & Development tab on the Village website to complete the Business Registration form. Once it is filled out you will need to print and sign it prior to submitting it via mail, fax or . Once your registration application has been processed, a certificate will be mailed which must be displayed on the registered premises. Those paying online at should their completed form to or fax it to (630) Please submit the completed form the same day as paying online. Please call with questions. Sincerely, Kristine Curran Business Office Manager Deputy Village Clerk cc: Eric Ertmoed, Village Manager Chris Pecak, Mayor Dave Anderson, Chief of Police

2 Village of Lisle Business Office 925 Burlington Avenue Lisle, Illinois (630) Fax (630) Mon-Fri 7 a.m. to 5 p.m. Office Use: ANNUAL BUSINESS REGISTRATION APPLICATION (See Page 3 for Exemptions) 1. Please check one: New Lisle Business New Owner of Existing Lisle Business Annual Renewal Change of Address (moving within Lisle) 2. Type of Ownership: Corporation LLC, LLP Sole Proprietor Other 3. Name of Corporation, LLC, LLP, Sole Proprietor, etc.: Local Business Name (if different than above) Lisle Address (NO PO BOX) (Please include suite numbers) Mailing Address (if different than above) Local Business Phone: Website: Illinois Tax No. or FEIN: (Note: Sole proprietors who use their social security number as their tax number, please leave blank) 4. Name, title, phone number and address of contact person located onsite during business hours: Name Title / Position Phone address: 5. After hours emergency contacts (key holders list in calling order): 6. Do you have a Knox Box (authorized by Lisle Woodridge Fire Protection District)? Yes No 7. Security Systems Information: N/A no security system or tenant in secured building Burglary: Name of Alarm Company Phone Number Address

3 Page 2 of 3 Business Registration Application 8. Approximate Number of Employees: Full-time Part-time 9. Days & Hours of Operation: Monday Tuesday Wednesday Thursday Friday Saturday Sunday 10. If premises are not owned, please provide the following (check the applicable box): Landlord Information Management Company Information Address: Phone: 11. Are flammable liquids or hazardous chemicals used, sold or stored in the operation of this business? Yes No If yes, please provide the following (attach additional pages if necessary): Type(s) of hazardous chemicals: Number, capacity, and location of storage tanks: 12. Description of Business Check type of business & provide product, service, or other brief description: Retail / Wholesale Office / Research Service Manufacturing / Distribution / Warehousing Dining Establishment Other 13. Are there food, beverage, or tobacco vending machines, coin-op games or musical devices onsite? No Yes If yes, attach listing of machine(s) by type, and provide name(s) of distributer / supplier. 14. For new businesses, new owners of existing businesses and address changes only: Expected move-in date: Has appropriate building /remodeling permit been applied for? Yes Not yet N/A moving into existing building without remodeling Has occupancy permit been applied for? Yes Not yet If changing/adding signage, has permit been applied for? Yes Not yet N/A no new signage

4 Page 3 of 3 Business Registration Application Registration Certificates are for a 12 month period beginning July 1 and ending June 30. Renewal applications will be mailed on or about April 30 th of each year. The following are exempt from registering: educational, governmental, religious, or political organizations or institutions. However, these organizations are highly encouraged to register (fee is waived), and must as a minimum provide security alarm information. PLEASE NOTE: The fee is waived for all not-for-profits and charitable organizations. The fee is also waived for businesses that have paid for a current Village of Lisle business, liquor, or tobacco license. Please call with questions. FEES New Certificate of Registration: $40 ($20 if new business begins operation after December 31 st ) Renewal Registration: $25 if submitted on or prior to June 15 $30 if submitted after June 15 but prior to July 1 $40 if submitted on or after July 1 (also subject to a penalty of no less than $40) Note: When mailing, postmark date is submitted date. The information provided in this registration application is true and correct to the best of my knowledge and belief. I understand that if there are any changes in the information provided on this application, it is my responsibility to notify the Village of the correct information as soon as possible. I acknowledge that the issuance of this certificate is conditional upon compliance with Village ordinances and the results of any and all inspections. The requirement of this certificate of registration is in addition to any business licensing requirements required per Village ordinance or through the State of Illinois. I understand that if I open for business prior to receiving my registration certificate I will be subject to monetary penalties. I also may not open for business without obtaining any required business licenses or certificates of occupancy. Signature of Owner, Officer, or Agent Title Printed Name Date OFFICE USE ONLY DEVELOPMENT SERVICES DEPARTMENT APPROVALS Zoning: Signature Printed Name Date Building: Signature Printed Name Date

5 Go to the Village of Lisle homepage: Hover over the words Business & Development (1) A listing of business topics will appear. Click on Business Registration (2) A new page will appear (3), you will be able to click on green lettering saying Annual Business Registration Application (PDF) - Renewal. A PDF will open and you will be able to type in the required information, or you may print it out and hand fill in the information. If you have any questions, please contact the Business Office at

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