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Business
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Privilege License Application

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About the Business

Business Trade Name *

Application Type *

New Application

Renewal

Business Location *

Business Mailing Address

Business Telephone Number

Manager Name

MS State Sales Tax Number (if required)

Attach Copy MS State Sales Tax License

A license will not be issued to a retail business without a State of Mississippi Sales Tax Number Registered in Diamondhead, MS
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

About the Owner/Applicant

Owner/Applicant's name *

Email Address *

Website

Owner/Applicant's Address: (No P.O. Boxes) *

City *

State *

Zip *

Owner/Applicant's Telephone Number *

Alternate Telephone Number

Type of Ownership *

Corporation

Partnership

Sole Ownership

Partner or Office Information

Additional Person 1

Name

Address

Title

Additional Person 2

Name

Address

Title

Additional Person 3

Name

Address

Title

Business Information

Retail Value of Stock in Inventory

Number of Full-Time Employees

Number of Part-Time Employees

Describe/explain in detail the business being conducted *

Date began at this location *

edit-submitted-business-information-date-began-at-this-location-month

edit-submitted-business-information-date-began-at-this-location-day

edit-submitted-business-information-date-began-at-this-location-year

Does your business have any of the following? (If so, how many?)

Soft Drink Machine

Music Box

Video Games

U-Hauls

Cigarette Machine

Weighing Machine

Gum/Candy

Postage Stamp Machine

Other Vending Machines

Kiddie Machines

Please specify type of machine and amount needed to operate: (ie., nickel, dime, etc.)

Food / Alcohol

Is your business selling/serving beer? *

Yes

No

Is your business selling food? *

Yes

No

food_permit

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf.

I would like to be added to City’s “E-Blast” list to receive general/important city announcements via the email address provided.

Pledge

I do solemnly swear that the information given above is true and correct to the best of my knowledge. I am compliant with and agree to remain in compliance with all City of Diamondhead ordinances. This information is subject to audit by the City of Diamondhead and any person who willfully makes any false statement on an application for a Privilege License shall be guilty of a misdemeanor. (§27-17-453 Miss. Code). I understand that a Privilege License does make legal any act declared illegal by the State of Mississippi.

Calendar
Fee Schedule for Building Department
Forms, Permits and Applications
Ordinances
Reports, Documents and Presentations
Abandonment of Drainage and Utility Easement

Contact Information

Building Official
Beau King
228-222-4626 Ext. 1807
bking@diamondhead.ms.gov

Building Inspector
Steven Torone
228-222-4626 Ext. 1792
storone@diamondhead.ms.gov

Building Inspector
Vacant
228-222-4626 Ext. 1807

Planning and Zoning Administrator
Jasmin "Jazz" Seferovic
228-222-4626, Ext. 1816
jseferovic@diamondhead.ms.gov

Building Department Clerk
Blair Smith
228-222-4626 Ext. 1791
bsmith@diamondhead.ms.gov

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5000 Diamondhead Circle, Diamondhead, MS 39525
Phone 228-222‑4626, Fax 228-222-4390

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