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Tobacco License Application and Renewal

  1. town-of-eagle
  2. TOBACCO LICENSE FEE
    Annual and Renewal fee is $250.00.
  3. License Type*
  4. LICENSE WILL BE EMAILED TO APPLICANT
    Please make sure the email address listed is accurate. Recipient should print and post the License upon receipt.
  5. Please answer the following questions with a yes or no answer.
    This section ensures applicant understands the purpose of Tobacco Licensing and regulations of the Town of Eagle.
  6. LICENSE IS VALID ONE YEAR FROM DATE OF ISSUE
    Applicant has 90 days to renew the license without incurring late fees. Late fees are $15 per month.
  7. Affirmation of Applicant*
    By Checking this box, I state under penalty of perjury in the second degree, as defined in 18-8-503, Colorado Revised Statutes, that the information contained above is true and correct to the best of my knowledge. I understand that providing false information is grounds for denial, suspension, or revocation of a license. Any person or entity who knowingly violates any provision of Eagle Municipal Code Chapter 5.16 or 9.15 or knowingly fails to perform an act by any provision of this Chapter, commits a Class A municipal offense.
  8. Cash or Paper Check Payment Instructions
    Once you submit this form, please mail a check made payable to the Town of Eagle in the amount of $250.00. Mailing Address: PO Box 609, Eagle CO 81631 - Please include business name on your check to ensure accuracy. Cash payments can be made in person at 200 Broadway, Eagle CO.
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  10. This field is not part of the form submission.