Unless otherwise provided, all municipal license applications, license forms and notice forms shall be substantially as follows, unless otherwise provided by the governing body.
Notice Form |
NOTICE TO ____________________ _____________, Nebraska ___________, 20_______ To: ____________________________________________ owner (occupant) of the premises known as No. _______________________ 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 ________________________________) SS 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 service with all endorsements thereon. Dated _____________________, 20_________ __________________________ Municipal Clerk |
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 |
License Form |
______________LICENSE License Fee $____________ FOR THE CALENDAR YEAR No.____ 20________ KNOW ALL MEN BY THESE PRESENTS: 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______. ______________________ Municipal Clerk (SEAL) |