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Welcome to the Official Ingham County web site
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Ingham County Retail Tobacco License Application
Licensing Period: January 1, 2012 to December 31, 2012
Please note:
East Lansing retailers must enter a valid East Lansing zip code and the Tobacco License Number sent to you to qualify for the City of East Lansing license fee.
If you experience difficulties, please contact Environmental Health at 517-887-4312 for assistance.
* - Denotes required field
New License
License Renewal
*
Sales Location:
Please check one:
Vending machine
Retail Sales
*
Type of store:
Grocery/Supermarket
Convenience Store
Pharmacy
Gas Station
Restaurant/Bar
Tobacco Speciality Store
Other
*
Other
Store Name
*
Street Address (no P.O. Boxes)
*
City
*
Zip
*
Phone
*
Fax
Federal ID Number
*
Tobacco License #
Store Manager - First Name
*
Last Name
*
2nd Phone
Licensing Contact Information (*Required Information)
Contact Name
*
Last Name
*
Mailing Address
*
City
*
State
Alabama (AL)
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Nova Scotia (NS)
Ontario (ON)
Prince Edward Island (PE)
Quebec (QC)
Saskatchewan (SK)
Yukon (YT)
*
Zip
*
Phone
*
Contact Information (ONLY if different from Store information)
Corporation Name
Mailing Address
City
State
Alabama (AL)
Alaska (AK)
Arizona (AZ)
Arkansas (AR)
California (CA)
Colorado (CO)
Connecticut (CT)
Delaware (DE)
District of Columbia (DC)
Florida (FL)
Georgia (GA)
Hawaii (HI)
Idaho (ID)
Illinois (IL)
Indiana (IN)
Iowa (IA)
Kanas (KS)
Kentucky (KY)
Louisiana (LA)
Maine (ME)
Maryland (MD)
Massachusetts (MA)
Michigan (MI)
Minnesota (MN)
Mississippi (MS)
Missouri (MO)
Montana (MT)
Nebraska (NE)
New Hampshire (NH)
New Jersey (NJ)
New Mexico (NM)
New York (NY)
North Carolina (NC)
North Dakota (ND)
Ohio (OH)
Oklahoma (OK)
Oregon (OR)
Pennsylvania (PA)
Rhode Island (RI)
South Carolina (SC)
South Dakota (SD)
Tennessee (TN)
Texas (TX)
Utah (UT)
Vermont (VT)
Virginia (VA)
Washington (WA)
West Virginia (WV)
Wisconsin (WI)
Wyoming (WY)
Alberta (AB)
British Columbia (BC)
Manitoba (MB)
New Brunswick (NB)
Newfoundland (NF)
Northwest Territories (NT)
Nunavut (NU)
Nova Scotia (NS)
Ontario (ON)
Prince Edward Island (PE)
Quebec (QC)
Saskatchewan (SK)
Yukon (YT)
Zip
Phone
Contact Person - First Name
Last Name
Fax
LICENSE FEE
All areas of Ingham County except City of East Lansing .......................... $
470.00
City of East Lansing ........................................................................................... $
390.00
*Notice: If store changes ownership or closes, this license is void. Please contact Ingham County Environmental Health at 517-887-4312 to report any changes. Thank You!
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