Certificate of Occupancy

Name of Business:  
Address of Business: (Street, City, State, Zip)
In Home Occupation Only: Do you own or rent your home?  
If you rent, name of landlord:  
Type of Business:  
Name of Owner or Manager:       Phone:   -  - 
Will you have a sign?    Yes   No     How many?  
Briefly describe changes to be made to the interior:
Heating & AC:  
What types of equipment will be used in conjunction with proposed occupancy?  
Will any flammable be used (specify):  
Gross floor area to be occupied:  
Gross floor area of interior storage:  
Number of employees:      Number of delivery or service vehicles:  
Give a brief description of proposed occupation:  
Signature of Applicant:       Date:  03-26-17