Fireworks Stand Permit Application

License fee is $ 566.00 (plus 2.95% credit card processing fee) . This fee applies to the following business type(s):

Single Owner
Partnership
Corporation
Non-Profit

These business type(s) will also be required to have a business license filed with the City of Lincoln. If you do not have a business license, please go back to the main webpage to apply for a business license.

Business Name

Business Address - (Physical Address not P.O. Box must be provided)

City

State

Zip Code

Do you have a separate mailing address?

Yes

No - (Same as above)

Owner / Contact Name - (If Corporation, list contact person and title)

Owner / Contact Address - (If corporation, list that address)

City

State

Zip Code

Business Phone Number

Contact Phone Number

Email Address of contact person

Resale Tax Number

State ID Number

Type of ID - (Select One)

Social Security Number

Federal ID Number

Ownership Type - (Select One)

Single Owner

Partnership

Corporation

Non-Profit

Location of fireworks stand (provide full address)

Please check one of the following

Our fireworks will be stored on site with a 24 hour watchman

Our fireworks will be store off site at Supplier or Distributor

Please check one of the following (failure to provide documentation may delay the process of the fireworks application)

Copy of site map showing stand location with a letter of permission & insurance

Copy of site map showing stand location with contract for location & insurance plus a copy of license issued by State Fire Marshall

Certification and Acknowledgement

Business Licenses are issued subject to information provided herein. Any change in the information may invalidate the Business License. The Business License is not transferable to a new owner, new type of business, new type of business activity, or new location. It is the responsibility of all Business License Applicants to identify and obtain all permits and approvals required by Federal, State, City, or County regulations. It is also the responsibility of the applicants to comply with all City Building and Zoning Regulations and Ordinances. Failure to do so may invalidate your right to do business in the City.

Please sign

Clear

Type Name

Date

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Fireworks Stand Permit Application