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2025 City Business License/Registration <br /> <br /> <br /> <br /> <br /> 1245 W Hwy 96 * Arden Hills MN 55112 <br /> Phone 651.792.7800 * Fax 651.634.5137 <br /> www.cityofardenhills.org <br />Applicant Information (please print) <br />Business Name EXACTLY as it is registered with the State of MN <br /> <br /> <br /> <br /> <br /> <br />Applicant Name <br />Property Address, Including Zip Code <br /> <br /> Local Phone Number Number of Employees at Arden Hills Location <br />Email Address <br />MN Tax ID Number (per State Statute 207C.72, Subd. 3) Federal Tax ID Number (per State Statute 207C.72, Subd. 3) <br />Nature of Business <br />Preferred Mailing Information (if different from above) <br />Company Name (or Property Owner Name for In Home Businesses) <br /> Mailing Address <br /> <br />City State Zip <br />Contact Name <br /> <br />Contact Phone Number Contact Email Address <br />License Types (check all that apply, see fees on reverse) <br /> <br /> Amusement Facility <br /> Amusement Devices - #Loc _____ #Devices _____ <br /> Bulk Fuel Storage - # of units ________ <br /> Drive-thru Restaurants <br /> Firework Sales <br /> <br /> <br /> Grocery Store - ________ square feet <br /> Hotel/Motel - # of Rooms _______ <br /> In Home Business Type I <br /> Permanent Signs - # of Signs ______ <br /> <br /> <br /> Restaurant - ________ square feet <br /> Retail Sales <br /> Service Station <br /> Other _____________________________ <br /> <br />Required Submittals <br /> <br /> Payment - see reverse side for Fee Schedule. <br />If no fee is listed for your type of business, please Register by returning the completed application form and insurance certificate. <br /> <br /> Certificate of Liability Insurance of at least $100,000 for bodily injury to any one person, including accidental death, and not less than <br /> $300,000 aggregate; property damage liability of at least $100,000 for each accident and not less than $100,000 aggregate. <br /> This is a one-page document available from your insurance provider. <br /> <br /> Certificate of Worker’s Compensation to the minimum acceptable levels of the State of Minnesota. <br /> OR: Signed Worker’s Compensation Waiver: <br /> <br />If you are a sole proprietor and have chosen not to carry worker’s comp, the following waiver must be signed: <br />As a sole proprietor or partnership, I/we have chosen not to carry Worker’s Compensation Insurance on myself/ourselves. <br /> <br /> <br /> ______________________________________________________ _______________ <br /> Applicant Signature Date <br /> <br />All Applicants Sign Here: Date: <br /> <br /> <br /> <br />The City Council will be approving the 2025 Fee Schedule at an upcoming meeting. <br /> <br />