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Contractor License Application

  1. By Clicking “I agree,” you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your “electronic signature” is valid and binding upon you to the same force and effect as a handwritten signature.*
  2. FOR VILLAGE USE ONLY
  3. License No:
  4. Expiration Date:
  5. Date Issued:
  6. Fee Received:
  7. Approved By:
  8. NO LICENSE SHALL BECOME EFFECTIVE UNTIL SUCH DATE AS THE REQUIRED CERTIFICATE OF INSURANCE HAS BEEN SUBMITTED AND IS ON FILE WITH THE VILLAGE. THE FEE IS $125.00 PER YEAR.
  9. Leave This Blank: