Adult Entertainment Application for Inspections

Business classification

Adult entertainment establishment

Adult entertainment retail

Inspection required for:

New business

Ownership transfer of existing business

Relocation of business

Applicant information

First name

Last name

Address (including unit number)

City

Postal code

Business information

Business structure

Sole Proprietor

Partnership

Corporation

Business location, including unit number

City

Postal code

Emergency phone (after hours)

Fax

Date of possession of premises

Previous use of building/unit and business name

Description of premises (eg. mall unit, detached dwelling, square footage):

Other businesses in Guelph currently operated by applicant

Proof of contractual or proprietary interest in the premises upon which the business is to be operated, eg. lease or property tax bill

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Allowed extensions pdf, jpeg, jpg, png

Floor plan to scale, identifying all principal entrance(s), all rooms to be used for provision of goods or services, and all other rooms and spaces in the premises, including common area(s) of the business

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Allowed extensions pdf, jpeg, jpg, png

Building Services inspections required

Will you be doing new alterations and/or construction?

Yes

Have you confirmed with the property owner if there are any open building permits or inspection deficiencies?

Yes

Fire Prevention, Public Health and Zoning inspections will also be required. Inspection information will be emailed to the applicant upon submission of this form.

I/We have read and understood Sections 1-42 of the City of Guelph Business Licensing By-law (2009)-18855, and the schedule of that by-law pertaining to the classification of business licence for which I/we are now making application for inspection

Yes

Per Section 3 (e) of the By-law I declare that all fines against the Applicant pursuant to the By-Law or its predecessors have either been paid in full or are the subject of a Court approved payment schedule

Yes

The information contained in this application is true and complete to the best of my/our knowledge, and that failure to provide complete or accurate information may delay the licensing process

Yes

It is an offence under section 25(e) to provide false or misleading information on this application or at any time hereafter to any person having authority for the enforcement or administration of the by-law and that the provision of false or misleading information may result in prosecution and/or penalties as set out in the by-law, or the refusal, suspension or revocation of the business licence.

The submission of an application for inspection does not entitle the applicant to carry on business pursuant to the bylaw. The applicant is only entitled to do so once a current and valid licence has been issued.

Any Licence or Application issued under Bylaw (2009)-18555 may be refused, revoked or suspended if the applicant or Licensee is convicted of an offence or has past conviction(s), under any provision of by-law (2009)-18555 or any predecessor of such by-law, or under any other by-law, statute or regulation relating to the business, or otherwise in accordance with the by-law.

Note: all correspondence will be mailed to the applicant's mailing address.

Collection of personal information

Personal information is being collected and will be used for the purpose of issuance and administration of business licences. Personal information, as defined by Section 2 of the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA), is collected under the authority of the Municipal Act, 2001, and in accordance with the provisions of MFIPPA.

If you have questions business licences. please contact the Licensing Division at 519-822-1260 extension 2551 or licensing@guelph.ca.

If you have questions about the collection, use or disclosure of this personal information please contact the City’s Information and Access Coordinator at 519-822-1260 extension 2349 or email privacy@guelph.ca.

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