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2. Business License Update
   This form notifies the City of Waukegan that the business is no longer in operation. Please complete the form to the fullest extent possible.
4. Business Name
6. Property Address*
8. Account Number
9. License Number
11. The business is no longer in operation for the following reason(s):

    1. Out of Business
    2. Closed
    3. Sold
    4. Transferred
13. New Owner Name
14. New Owner Phone
18. Statement*

    1. I understand that my request may require additional documentation and follow up and may not be processed if this information is unable to be furnished.
20. Signature*
21. Date*
    Date
23. Contact Phone*
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field