comdev@cityblm.org
115 E. Washington Street Ste 201 Bloomington, IL 61702
309-434-2226
2. Check all that apply:
4. Anticipated occupancy date?
5. Building Owner Name
7. Building Owner Address
10. New Tenant/Business Primary Contact
12. New Tenant/Business address
16. Please indicate if any of the following services will be provided at the proposed establishment (Check all that apply)
Click below to review the City Clerk's Licenses information:
https://www.bloomingtonil.gov/departments/city-clerk/license-permits/license-applications-and-renewals
22. Maximum number of employees to be present at the busiest times of operation?
25. Will the business involve the use or storage of chemicals?
26.List of Chemicals If Applicable
28. Shared parking spaces?
29. Will there be changes to permanent signage?
31. Will there be temporary signage?
33. Floor plan containing all required information
34. Floor plan upload (extra upload space if needed)
CERTIFICATION BY THE APPLICANT: By signing your name below, you certify that all the information contained in this application form, any attachments, documents, or plans submitted are true to the best of your knowledge and belief; and that you have approval from the owner of the property to proceed with this request. - I understand this application must be completed in its entirety and failure to do so will result in delay of review and application intake. - I understand additional information may be required to complete review of the application. The City reserves the right to request additional information to fully evaluate the request. - I understand I may not occupy the premises until a Certificate of Occupancy has been issued, and submission of this form does not grant or guarantee occupancy, or approval to perform building alterations.
Sign Here
