***Licenses become due and payable January 1st, and become delinquent April 15th
Enter the date
Enter your phone number
Enter your trade name
Enter the Business owner's name
Enter the business/contact email address
Enter the physical address of the business
Enter your address if it is different from the physical address
Enter the type of business, profession, vocation, etc.
A list of machines and locations must accompany this application.
Exceptions to occupational license: Peddlers, Fireworks, and Fairs
***If any of the above qualifications are not possessed by the applicant, the permit may be denied at the discretion of the police jury.
THE ISSUANCE OF THIS LICENSE DOES NOT EXEMPT THE TAXPAYER FROM OBTAINING ANY NECESSARY STATE OR PARISH PERMITS/LICENSES.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you grant permission and give authority to the Assumption Parish Police Jury to run a background check on your name. The information obtained is to be used to determine if you are suitable to be granted a liquor license permit. The signing electronically of this form, is to be considered as notification that a background check will be run and that a liquor license application will not be considered for approval until the background check is complete and clear.
By checking the "I approve" box below, you agree and acknowledge that 1) your approval will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, 3) you may still be required to provide a traditional signature at a later date, and 4) you are approving this occupational license.
This field is not part of the form submission.
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