I/We, the undersigned, hereby make application for license under and by virtue of the Ordinances of the Village of
Riverside for conducting a business.
** Requires registration with the Illinois Department of Revenue
*** Requires Health Inspection
I/We hereby certify that all of the information contained in this application for a Business License is true and
correct, that I/We am/are authorized to sign this document of behalf of this business; further that any false
penalties provided for by law. I/We further state that we understand all of the ordinances of the Village of Riverside
or the laws of the State of Illinois or of the United States of America in the conduct of the place of business
NOTE: This is an application for a business license and it is understood that a business cannot be conducted until a license is
issued by the Village Clerk of the Village of Riverside, Illinois.
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
* indicates a required field