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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: