Reason for application

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  • Touch the question mark to gain more details regarding the requested information.
  • Required fields are marked with an asterisk.
Agreement execution date
RadDatePicker
RadDatePicker
Open the calendar popup.
List previous name (DBA) *
List previous location in City of Marietta *
Select type of change *
SELECT...
Name of surviving company *
Name of company being merged *
Merger effective date *
RadDatePicker
RadDatePicker
Open the calendar popup.

BUSINESS INFO

Legal Name * ?
Trade name-(DBA) ?
DBA and legal are the same
DBA *
Street # *
Street name *
Apt/Suite *
City *
State *
SELECT...
Zip code *
*
RadDatePicker
RadDatePicker
Open the calendar popup.
Contact # * ?
Is this a virtual office or coworking space? * ?
Name of coworking space or virtual office provider
Is this location the company headquarters? * ?
Is this a home-based business? * ?
Do you have multiple business locations in Marietta? *

MAILING INFO & OTHER


Street # *
Street name *
Apt/Suite
City *
State *
SELECT...
Zip code *
Email address * ?
Web address (URL) ?

BUSINESS ACTIVITY

Detailed explanation of the dominant line of business (activity that generates the most money for the business) to be conducted at the location * ?
If there are any other lines of business (business activity) to be conducted at the location, please explain in detail below. If not, list “N/A.” * ?

FINANCIAL INFORMATION

2026 Estimated annual gross receipts from dominant line
of business($) * ?
2026 Estimated annual gross receipts from other line of business($). If there are no other line of business then enter $0 *
2026 No. of full-time EMPLOYEES
(exclude owners) *

Practitioners & Professions

List Practitioners of Professions as described in O.C.G.A § 48-13-9 (c)(1–18) (if applicable)
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OWNERSHIP

Type of Ownership *
SELECT...
TO BE COMPLETED BY APPLICANT (must be signed owner, partner, or authorized officer of corporation)
I, , being duly sworn according to law, do swear that the facts stated by me in the above and foregoing answers are true and no false or fraudulent statement is made herein. I will ensure that my application is complete within (30) days of submission. Incomplete applications will be deemed null and void after (30) days of submittal.
Date 04/04/2026
Any check submitted with this application will be deposited by the City of Marietta. However, the depositing of such check does not constitute the granting or approval of a license. Every license is subject to the required review process prior to a final determination. Further, the submittal of an application does not entitle the applicant to engage in the requested business activity. Only the final and complete issuance of the license constitutes authority to transact such business.
Applicant Signature 



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Upload Supporting Documents

The following documents are required in PDF and image (JPG, PNG) format.
REQUIRED: COPY OF LEGAL PHOTO ID (Copy of the signee's state- issued driver's license.)
REQUIRED: NOTARIZED AFFIDAVIT VERIFYING STATUS (signee of the application must complete this affidavit)

REQUIRED: NOTARIZED PRIVATE EMPLOYER AFFIDAVIT
REQUIRED: EXECUTED LEASE
ADDITIONAL DOCUMENTS: PLEASE REVIEW THE CHECKLIST TO DETERMINE IF THE APPLICANT IS REQUIRED TO UPLOAD ANY OF THE FOLLOWING DOCUMENTS:
Submit Signature