Unless otherwise provided, all municipal license applications, license forms and notice forms shall be substantially as follows, unless otherwise provided by the governing body:
(A) Notice form.
NOTICE TO
, Nebraska, 20 To: owner (occupant) of the premises known as Street, legally described as follows, to-wit: YOU ARE HEREBY NOTIFIED to YOU ARE FURTHER NOTIFIED that failure to comply with this order constitutes a violation of the ordinances of said
and that your failure renders you liable to prosecution and fine in the proper Court of said
. Municipal Clerk RETURN STATE OF NEBRASKA County of I, , Municipal Clerk of the of , Nebraska, hereby certify that on the day of , 20 at o’clock, .M., I served the within notice on said by delivering a true and correct copy thereof to personally (or by posting a typewritten copy thereof on said premises). Municipal Clerk CERTIFICATE I, , Municipal Clerk of the of , Nebraska, hereby certify that the foregoing is a true, accurate and correct copy of a notice now in my hands for services with all endorsements thereon. Date Municipal Clerk |
(B) Application form.
APPLICATION FOR
LICENSE , Nebraska, 20 I, hereby make application to the and of the of , Nebraska, for license to in said for period ending , 20 . I certify that I am and qualified to engage in . I agree to conform strictly to the ordinances of this relative to said , and obey all orders, requirements and regulations of its lawfully constituted authorities. I include with this application all required documents. I accompany this application with Dollars ($ ) in payment of the occupation tax in the sum of Dollars ($ ), and bond for approval of the and of said and other charges required by ordinance for the issuance of said license. Applicant |
(C) License form.
LICENSE License Fee $ FOR THE CALENDAR YEAR , 20 KNOW ALL MEN BY THESE PRESENT: THAT having paid $ the fee provided by law to , pursuant to application filed in the office of undersigned, NOW THEREFORE, said , Nebraska, to from the date last hereinafter written to December 31, 20 . Said license is issued on condition that licensee and his or her employees shall at all times
. This license is neither negotiable nor transferable and shall be of no force and effect outside the corporate limits of the Municipality and if revoked and forfeited renders licensee ineligible to receive a new license for a period of one year from the date of such revocation and forfeiture. Dated at , Nebraska, this day of , 20 (SEAL) Municipal Clerk |
(Prior Code, § 1-1001)