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: Sutherland, 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 prosecution and fine in the proper Court of said Clerk-Treasurer |
RETURN STATE OF NEBRASKA County of Lincoln I, , Clerk-Treasurer of the Village of Sutherland, 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). Clerk-Treasurer |
CERTIFICATE I, Clerk-Treasurer of the Village of Sutherland, 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. Dated , 20 by: Clerk-Treasurer |
APPLICATION FORM APPLICATION FOR LICENSE Sutherland, Nebraska, , 20 I hereby make application to the and of the Village of Sutherland, Nebraska, for license to in said village 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: 20 KNOW ALL MEN BY THESE PRESENTS: THAT having paid $ the fee provided by law 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. Date at Sutherland, Nebraska, this day of , 20 (SEAL) Clerk-Treasurer |
(Prior Code, § 1-1001)