Loves Park, IL · Winnebago County
Self-Service Gasoline Station License Application
Loves Park station owners or operators use this application to apply for or renew a self-service gasoline station license.
What this form is
This application is for a self-service gasoline station license for the licensing year September 1 through August 31. It asks for station and owner or operator contact details, pump and hose counts, and the State of Illinois self-service permit information; it also includes a fire department inspection report. The form lists a $175 application fee and a $75 renewal fee.
Who needs it
Station owners or operators seeking a new or renewed Loves Park self-service gasoline station license need to complete this application.
How to submit it
Submit the application to the City Clerk at 100 Heart Boulevard, Loves Park, IL 61111. The form lists a $175 application fee or $75 renewal fee.
About notarization
No notary is required for this application; the applicant signs and dates it, and the form includes a fire department inspection report.
How to submit this form
- 1
Download The Application
Download the Self-Service Gasoline Station License Application.
- 2
Complete The Application
Provide the station and owner or operator details, pump and hose counts, and permit information; sign and date the application.
- 3
Complete The Inspection Report
The form includes a fire department inspection report with approval fields, comments, inspection date, and inspector name.
- 4
Submit To The City
Submit the application to the City Clerk at 100 Heart Boulevard, Loves Park, IL 61111, with the applicable fee listed on the form.
Frequently asked questions
- Do I need a notary for the Self-Service Gasoline Station License Application?
- No. The application has a signature and date line but no notary block. The form also includes a fire department inspection report.
- How do I submit the Self-Service Gasoline Station License Application?
- Submit it to the City Clerk at 100 Heart Boulevard, Loves Park, IL 61111. The form lists an application fee of $175 or a renewal fee of $75.
- What information does the application ask for?
- It requests station and owner or operator contact information, pump and dispensing hose counts, and State of Illinois self-service permit details. It also includes an inspection report.
Need something notarized?
This Self-Service Gasoline Station License Application doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.